Mycobacterial antigens expressed under low oxygen tension

ABSTRACT

A method is provided for identifying mycobacterial genes that are induced or up-regulated under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C. Said induced or up-regulated genes form the basis of nucleic acid vaccines, or provide targets to allow preparation of attenuated mycobacteria for vaccines against mycobacterial infections. Similarly, peptides encoded by said induced or up-regulated genes are employed in vaccines. In a further embodiment, the identified genes/peptides provide the means for identifying the presence of a mycobacterial infection in a clinical sample by nucleic acid probe or antibody detection.

The present invention relates to a method of identifying a gene in mycobacteria the expression of which gene is induced or up-regulated during continuous culture of mycobacteria under growth conditions defined by a low dissolved oxygen tension, to the isolated peptide products, variants, derivatives or fragments thereof, to antibodies that bind to said peptides, variants, derivatives or fragments, to DNA and RNA vectors that express said peptides, variants, derivatives or fragment, to attenuated mycobacteria in which the activity of at least one of said induced or up-regulated genes has been modified, to vaccines against mycobacterial infections, and to methods of detecting a mycobacterial infection.

Many microorganisms are capable of forming intracellular infections. These include: infections caused by species of Salmonella, Yersinia, Shigella, Campylobacter, Chlamydia and Mycobacteria. Some of these infections are exclusively intracellular, others contain both intracellular and extracellular components. However, it is the intracellular survival cycle of bacterial infection which is suspected as a main supportive factor for disease progression.

Generally, these microorganisms do not circulate freely in the body, for example, in the bloodstream, and are often not amenable to drug treatment regimes. Where drugs are available, this problem has been exacerbated by the development of multiple drug resistant microorganisms.

A number of factors have contributed to the problem of microbial resistance. One is the accumulation of mutations over time and the subsequent horizontal and vertical transfer of the mutated genes to other organisms. Thus, for a given pathogen, entire classes of antibiotics have been rendered inactive. A further factor has been the absence of a new class of antibiotics in recent years. The emergence of multiple drug-resistant pathogenic bacteria represents a serious threat to public health and new forms of therapy are urgently required.

For similar reasons, vaccine therapies have not proved effective against such intracellular microorganisms. Also, increased systemic concentration of antibiotics to improve bioavailability within cells may result in severe side effects.

Mycobacterium tuberculosis and closely related species make up a small group of mycobacteria known as the Mycobacterium tuberculosis complex (MTC). This group comprises four species M. tuberculosis, M. microti, M. bovis and M. africanum which are the causative agent in the majority of tuberculosis (TB) cases throughout the world.

M. tuberculosis is responsible for more than three million deaths a year world-wide. Other mycobacteria are also pathogenic in man and animals, for example M. avium subsp. paratuberculosis which causes Johne's disease in ruminants, M. bovis which causes tuberculosis in cattle, M. avium and M. intracellulare which cause tuberculosis in immunocompromised patients (eg. AIDS patients, and bone marrow transplant patients) and M. leprae which causes leprosy in humans. Another important mycobacterial species is M. vaccae.

M. tuberculosis infects macrophage cells within the body. Soon after macrophage infection, most M. tuberculosis bacteria enter, persist and replicate within cellular phagosome vesicles, where the bacteria are sequestered from host defences and extracellular factors.

It is the intracellular survival and multiplication or replication of bacterial infection which is suspected as a main supportive factor for mycobacterial disease progression.

A number of drug therapy regimens have been proposed for combating M. tuberculosis infections, and currently combination therapy including the drug isoniazid has proved most effective. However, one problem with such treatment regimes is that they are long-term, and failure to complete such treatment can promote the development of multiple drug resistant microorganisms.

A further problem is that of providing an adequate bioavailability of the drug within the cells to be treated. Whilst it is possible to increase the systemic concentration of a drug (eg. by administering a higher dosage) this may result in severe side effects caused by the increased drug concentration.

The effectiveness of vaccine prevention against M. tuberculosis has varied widely. The current M. tuberculosis vaccine, BCG, is an attenuated strain of M. bovis. It is effective against severe complications of TB in children, but it varies greatly in its effectiveness in adults particularly across ethnic groups. BCG vaccination has been used to prevent tuberculous meningitis and helps prevent the spread of M. tuberculosis to extra-pulmonary sites, but does not prevent infection.

The limited efficacy of BCG and the global prevalence of TB has led to an international effort to generate new, more effective vaccines. The current paradigm is that protection will be mediated by the stimulation of a Th1 immune response.

BCG vaccination in man was given orally when originally introduced, but that route was discontinued because of loss of viable BCG during gastric passage and of frequent cervical adenopathy. In experimental animal species, aerosol or intra-tracheal delivery of BCG has been achieved without adverse effects, but has varied in efficacy from superior protection than parenteral inoculation in primates, mice and guinea pigs to no apparent advantage over the subcutaneous route in other studies.

Conventional mycobacterial culture systems for analysing gene and protein expression profiles have been based on simple batch-type systems, such as those described in:—Sherman, D. R. et al (2001) PNAS, vol. 98, no. 13, pp. 7534-7539; Boon, C. et al (2001) J. Bacteriol, vol. 183, no. 8, pp. 2672-2676; Cunningham, A. F. et al (1998) J. Bacteriol, vol. 180, no. 4, pp. 801-808; and Murugasu-Oei, B. et al (1999) Mol. Gen. Genet, vol. 262, pp. 677-682. In these batch-type systems, mycobacterial growth follows a typical sigmoid growth curve involving an exponential growth phase and a stationary phase. The transition from exponential phase to stationary phase involves rapid and transient switches in terms of gene and protein expression, which switches are initiated by a complex set of undefined or poorly defined interactive stimuli as the mycobacteria become starved of essential nutrients.

There is therefore a need for an improved and/or alternative vaccine or therapeutic agent for combating mycobacterial infections.

According to a first aspect of the invention there is provided an isolated mycobacterial peptide or a fragment, derivative or variant thereof, wherein the peptide is encoded by a gene the expression of which is induced or up-regulated during culture of a mycobacterium under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C.

The continuous culture methods employed by the present invention are particularly advantageous when compared with batch culture methods. This is because continuous culture permits strict control of growth culture parameters such as pH, available nutrients, constant growth rate, and dissolved oxygen tension.

Thus, in use of the present invention it is possible to ensure that the principal, preferably the only mycobacterial virulence induction parameter is that of a low dissolved oxygen tension. This means that the accidental induction or up-regulation of genes that are solely responsive to environmental switches other than to a low dissolved oxygen tension may be substantially prevented. Accordingly, false-positive identification of genes whose induction or up-regulation is unrelated to a low dissolved oxygen tension may be substantially avoided.

Mycobacterial batch culture systems involve a variety of interactive stimuli as the mycobacteria become starved of essential nutrients. As a result, the mycobacteria are exposed to a complex range of starvation stimuli, which stimuli may obscure or modify the cellular effects associated with a single rapid or transient stimulus in isolation. In contrast, the present invention concerns the principal stimulus of oxygen limitation.

A further distinction between the continuous culture conditions of the present invention and batch-type systems is that the present invention employs oxygen limitation as the principal stimulus and does not involve oxygen starvation. During oxygen limitation, the mycobacteria are capable of growth and reproduction, and the present invention therefore maintains mycobacterial growth under carefully controlled environmental conditions. In contrast, mycobacteria do not substantially grow and reproduce when exposed to starvation stimuli such as those experienced with batch-type culture systems. Such starvation stimuli are typically associated with stress-type environmental conditions, and invoke mycobacterial cellular responses that are different from those associated with nutrient limitation. The dissolved oxygen tension parameter is calculated by means of an oxygen electrode and conventional laboratory techniques. Thus, 100% air saturation corresponds to a solution that is saturated with air, whereas 0% corresponds to a solution that has been thoroughly purged with an inert gas such as nitrogen. Calibration is performed under standard atmospheric pressure conditions, and with conventional air comprising approximately 21% oxygen.

The low oxygen tension induction conditions of the present invention are culture conditions which are conducive for a mycobacterium to express at least one gene which would be normally expressed in vivo during infection of the mycobacterium's natural target cell, which the present inventors believe to involve a low oxygen environment.

The terms “isolated,” “substantially pure,” and “substantially homogenous” are used interchangeably to describe a peptide which has been separated from components which naturally accompany it. A peptide is substantially pure when at least about 60 to 75% of a sample exhibits a single peptide sequence. A substantially pure peptide will typically comprise about 60 to 90% w/w of a protein sample, more usually about 95%, and preferably will be over about 99% pure. Peptide purity or homogeneity may be indicated by, for example, polyacrylamide gel electrophoresis of a protein sample, followed by visualizing a single polypeptide band upon staining the gel. Alternatively, higher resolution may be provided by using, for example, HPLC. A peptide is considered to be isolated when it is separated from the contaminants which accompany it in its natural state. Thus, a peptide which is chemically synthesized or synthesized in a cellular system different from the cell from which it naturally originates will be substantially free from its naturally associated components. The present invention provides peptides which may be purified from mycobacteria as well as from other types of cells transformed with recombinant nucleic acids encoding these peptides. If desirable, the amino acid sequence of the proteins of the present invention may be determined by protein sequencing methods.

The terms “peptide”, “oligopeptide”, “polypeptide”, and “protein” are used interchangeably and do not refer to a specific length of the product. These terms embrace post-translational modifications such as glycosylation, acetylation, and phosphorylation.

The term “fragment” means a peptide having at least five, preferably at least ten, more preferably at least twenty, and most preferably at least thirty-five amino acid residues of the peptide which is the gene product of the induced or up-regulated gene in question. The fragment preferably includes an epitope of the gene product in question.

The term “variant” means a peptide or peptide “fragment” having at least seventy, preferably at least eighty, more preferably at least ninety percent amino acid sequence homology with the peptide which is the gene product of the induced or up-regulated gene in question. An example of a “variant” is a peptide or peptide fragment of an induced/up-regulated gene which contains one or more analogs of an amino acid (eg. an unnatural amino acid), or a substituted linkage. The terms “homology” and “identity” are considered synonymous in this specification. In a further embodiment, a “variant” may be a mimic of the peptide or peptide fragment, which mimic reproduces at least one epitope of the peptide or peptide fragment. The mimic may be, for example, a nucleic acid mimic, preferably a DNA mimic.

For sequence comparison, typically one sequence acts as a reference sequence, to which test sequences may be compared. When using a sequence comparison algorithm, test and reference sequences are input into a computer, subsequent coordinates are designated, if necessary, and sequence algorithm program parameters are designated. The sequence comparison algorithm then calculates the percentage sequence identity for the test sequence(s) relative to the reference sequence, based on the designated program parameters.

Optimal alignment of sequences for comparison may be conducted, for example, by the local homology alignment algorithm of Smith and Waterman [Adv. Appl. Math. 2: 484 (1981)], by the algorithm of Needleman & Wunsch [J. Mol. Biol. 48: 443 (1970)] by the search for similarity method of Pearson & Lipman [Proc. Nat'l. Acad. Sci. USA 85: 2444 (1988)], by computer implementations of these algorithms (GAP, BESTFIT, FASTA, and TFASTA—Sequence Analysis Software Package of the Genetics Computer Group, University of Wisconsin Biotechnology Center, 1710 University Avenue, Madison, Wis. 53705), or by visual inspection [see Current Protocols in Molecular Biology, F. M. Ausbel et al, eds, Current Protocols, a joint venture between Greene Publishing Associates, In. And John Wiley & Sons, Inc. (1995 Supplement) Ausbubel].

Examples of algorithms suitable for determining percent sequence similarity are the BLAST and BLAST 2.0 algorithms [see Altschul (1990) J. Mol. Biol. 215: pp. 403-410; and “http://www.ncbi.nim.nih.gov/” of the National Center for Biotechnology Information].

In a preferred homology comparison, the identity exists over a region of the sequences that is at least 50 nucleotides in length.

The term “derivative” means a peptide comprising the peptide (or fragment, or variant thereof which is the gene product of the induced or up-regulated gene in question. Thus, a derivative may include the peptide in question, and a further peptide sequence which may introduce one or more additional epitopes. The further peptide sequence should preferably not interfere with the basic folding and thus conformational structure of the peptide in question. Examples of a “derivative” are a fusion protein, a conjugate, and a graft. Thus, two or more peptides (or fragments, or variants) may be joined together to form a derivative. Alternatively, a peptide (or fragment, or variant) may be joined to an unrelated molecule (eg. a peptide). Derivatives may be chemically synthesized, but will be typically prepared by recombinant nucleic acid methods. Additional components such as lipid, and/or polysaccharide, and/or polyketide components may be included.

All of the molecules “fragment”, “variant” and “derivative” have a common antigenic cross-reactivity and/or substantially the same in vivo biological activity as the gene product of the induced or up-regulated gene in question from which they are derived. For example, an antibody capable of binding to a fragment, variant or derivative would be also capable of binding to the gene product of the induced or up-regulated gene in question. It is a preferred feature that the fragment, variant and derivative each possess the active site of the peptide which is the induced or up-regulated peptide in question. Alternatively, all of the above embodiments of a peptide of the present invention share a common ability to induce a “recall response” of a T-lymphocyte which has been previously exposed to an antigenic component of a mycobacterial infection.

In a preferred embodiment, the peptide is selected from the group consisting of SEQ ID NO: 1, 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25, 27, 29, 31, 33, 35, 37, 39, 41, 43, 45, 47, 49, 51, 53, 55, 57, 59, 61, 63, 65, 67, 69, 71, 73, 75, 77, 79, 81, 83, 85, 87, 89, 91, 93, 95, 97, 99, 101, 103, 105, 107, 109, 111, 113, 115, 117, 119, 121, 123, 125, 127, 129, 131, 133, 135, and 137.

According to a second aspect of the present invention there is provided a method of identifying a mycobacterial gene the expression of which is induced or up-regulated during culture of a mycobacterium under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C., said method comprising:—

-   -   culturing a first mycobacterium under continuous culture         conditions defined by a dissolved oxygen tension of up to 10%         air saturation measured at 37° C.;     -   culturing a second mycobacterium under continuous culture         conditions defined by a dissolved oxygen tension of at least 40%         air saturation measured at 37° C.;     -   obtaining first and second mRNA populations from said first and         second mycobacteria, respectively;     -   preparing first and second cDNA populations from said first and         second mRNA populations, respectively, during which cDNA         preparation a detectable label is introduced into the cDNA         molecules of the first and second cDNA populations;     -   isolating corresponding first and second cDNA molecules from the         first and second cDNA populations, respectively;     -   comparing relative amounts of label or corresponding signal         emitted from the label present in the isolated first and second         cDNA molecules;     -   identifying a greater amount of label or signal provided by the         isolated first cDNA molecule than that provided by the isolated         second cDNA molecule; and     -   identifying the first cDNA and the corresponding mycobacterial         gene which is induced or up-regulated during culture of a         mycobacterium under continuous culture conditions defined by a         dissolved oxygen tension of up to 10% air saturation measured at         37° C.

Reference to gene throughout this specification embraces open reading frames (ORFs).

The various embodiments described for the first aspect of the present invention apply equally for the second and subsequent aspects of the present invention. “Corresponding first and second cDNA molecules from the first and second cDNA populations” refers to cDNAs having substantially the same nucleotide sequence. Thus, by isolating the cDNA copies relating to a given gene under each culture condition (ie. high oxygen, and low oxygen), it is possible to quantify the relative copy number of cDNA for that gene for each culture condition. Since each cDNA copy has been produced from an mRNA molecule, the cDNA copy number reflects the corresponding mRNA copy number for each culture condition, and thus it is possible to identify induced or up-regulated genes.

The mycobacterium is selected from the species M. phlei, M. smegmatis, M. africanum, M. caneti, M. fortuitum, M. marinum, M. ulcerans, M. tuberculosis, M. bovis, M. microti, M. avium, M. paratuberculosis, M. leprae, M. lepraemurium, M. intracellulare, M. scrofulaceum, M. xenopi, M. genavense, M. kansasii, M. simiae, M. szulgai, M. haemophilum, M. asiaticum, M. malmoense, M. vaccae and M. shimoidei. Of particular interest are members of the MTC, preferably M. tuberculosis. Similarly, all embodiments of the present invention may be based on the above-identified mycobacterial sources.

Suitable media for culturing mycobacteria are described in Wayne, L. G. (1994) [in Tuberculosis: Pathogenesis, Protection, and Control published by the American Society for Microbiology, pp. 73-83]. These include Middlebrook 7H9 Medium [see Barker, L. P., et al. (1998) Molec. Microbiol., vol. 29(5), pp. 1167-1177], and WO00/52139 in the name of the present Applicant.

In one embodiment, the first and second cDNA molecules are isolated from the corresponding cDNA populations by hybridisation to an array containing immobilised DNA sequences that are representative of each known gene (or ORF) within a particular mycobacterial species' genome. Thus, a first cDNA may be considered “corresponding” to a second cDNA if both cDNAs hybridise to the same immobilised DNA sequence. Alternatively, representative DNA sequences from a particular mycobacterial strain, or from a number of different species and/or strains may be employed in the array.

In another embodiment, the first and second cDNAs are prepared by incorporation of a fluorescent label. The first and second cDNAs may incorporate labels which fluoresce at different wavelengths, thereby permitting dual fluorescence and simultaneous detection of two cDNA samples.

The type of label employed naturally determines how the output of the detection method is read. When using fluorescent labels, a confocal laser scanner is preferably employed.

In use, it is preferred that those genes (ie. as represented by cDNAs in the detection assay) which are up-regulated by at least 1.5-fold under low oxygen culture conditions vis-a-vis high oxygen culture conditions are selected. In more preferred embodiments, the corresponding up-regulation selection criterium is at least 2-fold, more preferably 3-fold, most preferably 4-fold. In further embodiments up-regulation levels of at least 10-fold, preferably 50-fold may be employed.

The preferred nucleic acid and peptide sequences of the present invention are those that are up-regulated by the above-identified levels.

According to one embodiment, fluorescently labelled cDNA sequences from low and high oxygen cultured systems were allowed to hybridise with a whole mycobacterial genome array. The first cDNA population was labelled with fluorescent label A, and the second cDNA population was labelled with fluorescent label B. The array was scanned at two different wavelengths corresponding to the excitable maxima of each dye and the intensity of the emitted light was recorded. Multiple arrays were prepared for each cDNA and a mean intensity value was calculated across the two cDNA populations for each spot with each dye, against which relative induction or up-regulation was quantified.

In addition to the above mRNA isolation and cDNA preparation and labelling, genomic DNA may be isolated from the first and second mycobacteria. Thus, in a preferred embodiment, labelled DNA is also prepared from the isolated DNA. The labelled DNA may be then included on each array as a control.

As an alternative to the above-described transcriptomics based method for identifying up-regulated or induced genes, identification may be performed at the protein level rather than at the mRNA level. In more detail, protein samples may be removed from the first and second mycobacteria, and then exposed to conventional separation techniques such as SDS-PAGE or non-denaturation electrophoresis prior to conventional analysis such as by densitometer analysis. By comparing the relative amounts of a particular protein from each of the first and second mycobacteria, those proteins the production of which is up-regulated or induced under oxygen limitation may be identified.

The preferred maximum dissolved oxygen tension threshold defining the low oxygen culture condition is up to 5% air saturation measured at 37° C., more preferably up to 2% air saturation measured at 37° C., and most preferably up to 1% air saturation measured at 37° C. The corresponding minimum DOT is typically at least 0.5% air saturation measured at 37° C., preferably at least 1% air saturation measured at 37° C.

Similarly, the preferred minimum dissolved oxygen tension threshold defining the high oxygen culture condition is 45% air saturation measured at 37° C., and more preferably 50% air saturation measured at 37° C.

The pH of the culture medium is preferably maintained between pH 6 and 8, more preferably between pH 6.5 and 7.5, most preferably at about pH 6.9.

Preferred nucleic acid and peptide sequences of the present invention are those that are up-regulated under the above-identified DOT and pH conditions.

According to a third aspect of the present invention, there is provided an inhibitor of a mycobacterial peptide, wherein the peptide is encoded by a gene the expression of which is induced or up-regulated during culture of a mycobacterium under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C., and wherein the inhibitor is capable of preventing or inhibiting the mycobacterial peptide from exerting its native biological effect.

Inhibition of the mycobacterial peptide may be effected at the nucleic acid level (ie. DNA, or RNA), or at the peptide level.

In one embodiment, the inhibitor is capable of inhibiting one or more of acyl carrier protein, monooxygenase, mycobactin synthesis protein, transcription regulator, oxidoreductase, acyl CoA dehydrogenase, esterase/acetyl hydrolase, cytochrome D, methyl transferase, transaminase, PPE protein, valyl-tRNA synthetase, guanylate kinase, ketol acid reductoisomerase, ABC transporter, ATP-binding protein, protoporphyrinogen oxidase, sigma factor, pyruvate kinase, heat shock protein, and aminotransferase.

In a further embodiment, the inhibitor may be an antibiotic capable of targeting the induced or up-regulated mycobacterial gene identifiable by the present invention, or the gene product thereof. The antibiotic is preferably specific for the gene and/or gene product.

Inhibitors of the present invention may be prepared utilizing the sequence information of provided herein. For example, this may be performed by overexpressing the peptide, purifying the peptide, and then performing X-ray crystallography on the purified peptide to obtain its molecular structure. Next, compounds are created which have similar molecular structures to all or portions of the polypeptide or its substrate. The compounds may be then combined with the peptide and attached thereto so as to block one or more of its biological activities.

Also included within the invention are isolated or recombinant polynucleotides that bind to the regions of the mycobacterial chromosome containing sequences that are associated with induction/up-regulation under low oxygen tension (ie. virulence), including antisense and triplex-forming polynucleotides. As used herein, the term “binding” refers to an interaction or complexation between an oligonucleotide and a target nucleotide sequence, mediated through hydrogen bonding or other molecular forces. The term “binding” more specifically refers to two types of internucleotide binding mediated through base-base hydrogen bonding. The first type of binding is “Watson-Crick-type” binding interactions in which adenine-thymine (or adenine-uracil) and guanine-cytosine base-pairs are formed through hydrogen bonding between the bases. An example of this type of binding is the binding traditionally associated with the DNA double helix and in RNA-DNA hybrids; this type of binding is normally detected by hybridization procedures. The second type of binding is “triplex binding”. In general, triplex binding refers to any type of base-base hydrogen bonding of a third polynucleotide strand with a duplex DNA (or DNA-RNA hybrid) that is already paired in a Watson-Crick manner.

In a preferred embodiment, the inhibitor may be an antisense nucleic acid sequence which is complementary to at least part of the inducible or up-regulatable gene.

The inhibitor, when in the form of a nucleic acid sequence, in use, comprises at least 15 nucleotides, preferably at least 20 nucleotides, more preferably at least 30 nucleotides, and most preferably at least 50 nucleotides.

According to a fourth aspect of the invention, there is provided an antibody which binds to a peptide encoded by a gene, or to a fragment or variant or derivative of said peptide, the expression of which gene is induced or up-regulated during culture of a mycobacterium under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C.

The antibody preferably has specificity for the peptide in question, and following binding thereto may initiate coating of the mycobacterium. Coating of the bacterium preferably leads to opsonization thereof. This, in turn, leads to the bacterium being destroyed. It is preferred that the antibody is specific for the mycobacterium (eg. species and/or strain) which is to be targeted.

Opsonization by antibodies may influence cellular entry and spread of mycobacteria in phagocytic and non-phagocytic cells by preventing or modulating receptor-mediated entry and replication in macrophages.

The peptides, fragments, variants or derivatives of the present invention may be used to produce antibodies, including polyclonal and monoclonal. If polyclonal antibodies are desired, a selected mammal (eg. mouse, rabbit, goat, horse, etc.) is immunized with an immunogenic polypeptide. Serum from the immunized animal is collected and treated according to known procedures. If serum containing polyclonal antibodies to a desired mycobacterial epitope contains antibodies to other antigens, the polyclonal antibodies may be purified by immunoaffinity chromatography. Alternatively, general methodology for making monoclonal antibodies by hybridomas involving, for example, preparation of immortal antibody-producing cell lines by cell fusion, or other techniques such as direct transformation of B lymphocytes with oncogenic DNA, or transfection with Epstein-Barr virus may be employed.

The antibody employed in this aspect of the invention may belong to any antibody isotype family, or may be a derivative or mimic thereof. Reference to antibody throughout this specification embraces recombinantly produced antibody, and any part of an antibody which is capable of binding to a mycobacterial antigen.

In one embodiment the antibody belongs to the IgG, IgM or IgA isotype families.

In a preferred embodiment, the antibody belongs to the IgA isotype family. Reference to the IgA isotype throughout this specification includes the secretory form of this antibody (ie. sIgA). The secretory component (SC) of sIgA may be added in vitro or in vivo. In the latter case, the use of a patient's natural SC labelling machinery may be employed.

In one embodiment, the antibody may be raised against a peptide from a member of the MTC, preferably against M. tuberculosis.

In a preferred embodiment, the antibody is capable of binding to a peptide selected from the group consisting of SEQ ID NO: 1, 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25, 27, 29, 31, 33, 35, 37, 39, 41, 43, 45, 47, 49, 51, 53, 55, 57, 59, 61, 63, 65, 67, 69, 71, 73, 75, 77, 79, 81, 83, 85, 87, 89, 91, 93, 95, 97, 99, 101, 103, 105, 107, 109, 111, 113, 115, 117, 119, 121, 123, 125, 127, 129, 131, 133, 135, and 137 (or fragment, variant, of derivative thereof).

In a further embodiment, the antigen is an exposed component of a mycobacterial bacillus. In another embodiment, the antigen is a cell surface component of a mycobacterial bacillus.

The antibody of the present invention may be polyclonal, but is preferably monoclonal.

Without being bound by any theory, it is possible that following mycobacterial infection of a macrophage, the macrophage is killed and the bacilli are released. It is at this stage that the mycobacteria are considered to be most vulnerable to antibody attack. Thus, it is possible that the antibodies of the present invention act on released bacilli following macrophage death, and thereby exert a post-infection effect.

It is possible that the passive protection aspect (ie. delivery of antibodies) of the present invention is facilitated by enhanced accessibility of the antibodies of the present invention to antigens on mycobacterial bacilli harboured by the infected macrophages. Indeed, acr expression is low during logarithmic growth, but increases at the stationary or oxygen limiting stage, and particularly in organisms which replicate within macrophages. As acr expression appears to be necessary for mycobacterial infectivity, it is possible that antibody binding may block macrophage infection by steric hindrance or disruption of its oligomeric structure. Thus, antibodies acting on mycobacterial bacilli released from killed, infected macrophages may interfere with the spread of re-infection to fresh macrophages. This hypothesis involves a synergistic action between antibodies and cytotoxic T cells, acting early after infection, eg. γδ and NK T cells, but could later involve also CD8 and CD4 cytotoxic T cells.

According to a fifth aspect of the invention, there is provided an attenuated mycobacterium in which a gene has been modified thereby rendering the mycobacterium substantially non-pathogenic, wherein said gene is a gene the expression of which is induced or up-regulated during culture of a mycobacterium under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C.

The term “modified” refers to any genetic manipulation such as a nucleic acid or nucleic acid sequence replacement, a deletion, or an insertion which renders the mycobacterium substantially non-pathogenic. In one embodiment the entire inducible or up-regulatable gene may be deleted.

In a preferred embodiment, the gene to be modified has a wild-type coding sequence corresponding to one of the group consisting of SEQ ID NO: 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30, 32, 34, 36, 38, 40, 42, 44, 46, 48, 50, 52, 54, 56, 58, 60, 62, 64, 66, 68, 70, 72, 74, 76, 78, 80, 82, 84, 86, 88, 90, 92, 94, 96, 98, 100, 102, 104, 106, 108, 110, 112, 114, 116, 118, 120, 122, 124, 126, 128, 130, 132, 134, 136, and 138.

It will be appreciated that the wild-type sequences may include minor variations depending on the Database employed.

According to a sixth aspect of the invention there is provided an attenuated microbial carrier, comprising a peptide encoded by a gene, or a fragment or variant or derivative of said peptide, the expression of which gene is induced or up-regulated during culture of a mycobacterium under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C.

In use, the peptide (or fragment, variant or derivative) is either at least partially exposed at the surface of the carrier, or the carrier becomes degraded in vivo so that at least part of the peptide (or fragment, variant or derivative) is otherwise exposed to a host's immune system.

In one embodiment, the attenuated microbial carrier is selected from the group consisting of attenuated salmonella, attenuated vaccinia virus, attenuated fowlpox virus, or attenuated M. bovis (eg. BCG strain).

In a preferred embodiment, the peptide is selected from the group consisting of SEQ ID NO: 1, 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25, 27, 29, 31, 33, 35, 37, 39, 41, 43, 45, 47, 49, 51, 53, 55, 57, 59, 61, 63, 65, 67, 69, 71, 73, 75, 77, 79, 81, 83, 85, 87, 89, 91, 93, 95, 97, 99, 101, 103, 105, 107, 109, 111, 113, 115, 117, 119, 121, 123, 125, 127, 129, 131, 133, 135 and 137 (or fragment, variant, of derivative thereof).

According to a seventh aspect of the invention, there is provided a DNA plasmid comprising a promoter, a polyadenylation signal, and a DNA sequence that encodes a gene or a fragment or variant or derivative of said gene, the expression of which gene is induced or up-regulated during culture of a mycobacterium under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C., wherein the promoter and polyadenylation signal are operably linked to the DNA sequence. The term DNA “fragment” used in this invention will usually comprise at least about 5 codons (15 nucleotides), more usually at least about 7 to 15 codons, and most preferably at least about 35 codons. This number of nucleotides is usually about the minimal length required for a successful probe that would hybridize specifically with such a sequence.

In preferred embodiments, the DNA “fragment” has a nucleotide length which is at least 50%, preferably at least 70%, and more preferably at least 80% that of the coding sequence of the corresponding induced/up-regulated gene.

The term DNA “variant” means a DNA sequence which has substantial homology or substantial similarity to the coding sequence (or a fragment thereof) of an induced/up-regulated gene. A nucleic acid or fragment thereof is “substantially homologous” (or “substantially similar”) to another if, when optimally aligned (with appropriate nucleotide insertions or deletions) with the other nucleic acid (or its complementary strand), there is nucleotide sequence identity in at least about 60% of the nucleotide bases, usually at least about 70%, more usually at least about 80%, preferably at least about 90%, and more preferably at least about 95 to 98% of the nucleotide bases. Homology determination is performed as described supra for peptides.

Alternatively, a DNA “variant” is substantially homologous (or substantially similar) with the coding sequence (or a fragment thereof of an induced/up-regulated gene when they are capable of hybridizing under selective hybridization conditions. Selectivity of hybridization exists when hybridization occurs which is substantially more selective than total lack of specificity. Typically, selective hybridization will occur when there is at least about 65% homology over a stretch of at least about 14 nucleotides, preferably at least about 70%, more preferably at least about 75%, and most preferably at least about 90%. See, Kanehisa (1984) Nuc. Acids Res. 12:203-213. The length of homology comparison, as described, may be over longer stretches, and in certain embodiments will often be over a stretch of at least about 17 nucleotides, usually at least about 20 nucleotides, more usually at least about 24 nucleotides, typically at least about 28 nucleotides, more typically at least about 32 nucleotides, and preferably at least about 36 or more nucleotides.

Nucleic acid hybridization will be affected by such conditions as salt concentration (eg. NaCl), temperature, or organic solvents, in addition to the base composition, length of the complementary strands, and the number of nucleotide base mismatches between the hybridizing nucleic acids, as will be readily appreciated by those skilled in the art. Stringent temperature conditions are preferably employed, and generally include temperatures in excess of 30° C., typically in excess of 37° C. and preferably in excess of 45° C. Stringent salt conditions will ordinarily be less than 1000 mM, typically less than 500 mM, and preferably less than 200 mM. The pH is typically between 7.0 and 8.3. However, the combination of parameters is much more important than the measure of any single parameter. See, eg., Wetmur and Davidson (1968) J. Mol. Biol. 31:349-370.

The term DNA “derivative” means a DNA polynucleotide which comprises a DNA sequence (or a fragment, or variant thereof) corresponding to the coding sequence of the induced/up-regulated gene and an additional DNA sequence which is not naturally associated with the DNA sequence corresponding to the coding sequence. The comments on peptide derivative supra also apply to DNA “derivative”. A “derivative” may, for example, include two or more coding sequences of a mycobacterial operon that is induced during oxygen limitation. Thus, depending on the presence or absence of a non-coding region between the coding sequences, the expression product/s of such a “derivative” may be a fusion protein, or separate peptide products encoded by the individual coding regions.

The above terms DNA “fragment”, “variant”, and “derivative” have in common with each other that the resulting peptide products have cross-reactive antigenic properties which are substantially the same as those of the corresponding wild-type peptide. Preferably all of the peptide products of the above DNA molecule embodiments of the present invention bind to an antibody which also binds to the wild-type peptide. Alternatively, all of the above peptide products are capable of inducing a “recall response” of a T lymphocyte which has been previously exposed to an antigenic component of a mycobacterial infection.

The promoter and polyadenylation signal are preferably selected so as to ensure that the gene is expressed in a eukaryotic cell. Strong promoters and polyadenylation signals are preferred.

In a related aspect, the present invention provides an isolated RNA molecule which is encoded by a DNA sequence of the present invention, or a fragment or variant or derivative of said DNA sequence.

An “isolated” RNA is an RNA which is substantially separated from other mycobacterial components that naturally accompany the sequences of interest, eg., ribosomes, polymerases, and other mycobacterial polynucleotides such as DNA and other chromosomal sequences.

The above RNA molecule may be introduced directly into a host cell as, for example, a component of a vaccine.

Alternatively the RNA molecule may be incorporated into an RNA vector prior to administration.

The polynucleotide sequences (DNA and RNA) of the present invention include a nucleic acid sequence which has been removed from its naturally occurring environment, and recombinant or cloned DNA isolates and chemically synthesized analogues or analogues biologically synthesized by heterologous systems. The term “recombinant” as used herein intends a polynucleotide of genomic, cDNA, semisynthetic, or synthetic origin which, by virtue of its origin or manipulation: (1) is not associated with all or a portion of a polynucleotide with which it is associated in nature; or (2) is linked to a polynucleotide other than that to which it is linked in nature; and (3) does not occur in nature. This artificial combination is often accomplished by either chemical synthesis means, or by the artificial manipulation of isolated segments of nucleic acids, eg., by genetic engineering techniques. Such is usually done to replace a codon with a redundant codon encoding the same or a conservative amino acid, while typically introducing or removing a sequence recognition site. Alternatively, it is performed to join together nucleic acid segments of desired functions to generate a desired combination of functions.

In embodiments of the invention the polynucleotides may encode a peptide which is induced or up-regulated under low oxygen tension. A nucleic acid is said to “encode” a peptide if, in its native state or when manipulated, it can be transcribed and/or translated to produce the peptide or a fragment or variant or derivative thereof. The anti-sense strand of such a nucleic acid is also said to encode the sequence.

Also contemplated within the invention are expression vectors comprising the polynucleotide of interest. Expression vectors generally are replicable polynucleotide constructs that encode a peptide operably linked to suitable transcriptional and translational regulatory elements. Examples of regulatory elements usually included in expression vectors are promoters, enhancers, ribosomal binding sites, and transcription and translation initiation and termination sequences. These regulatory elements are operably linked to the sequence to be translated. A nucleic acid sequence is operably linked when it is placed into a functional relationship with another nucleic acid sequence. For instance, a promoter is operably linked to a coding sequence if the promoter affects its transcription or expression. Generally, operably linked means that the DNA sequences being linked are contiguous and, where necessary to join two protein coding regions, contiguous and in reading frame. The regulatory elements employed in the expression vectors containing a polynucleotide encoding a virulence factor are functional in the host cell used for expression.

The polynucleotides of the present invention may be prepared by any means known in the art. For example, large amounts of the polynucleotides may be produced by replication in a suitable host cell. The natural or synthetic DNA fragments coding for a desired fragment will be incorporated into recombinant nucleic acid constructs, typically DNA constructs, capable of introduction into and replication in a prokaryotic or eukaryotic cell. Usually the DNA constructs will be suitable for autonomous replication in a unicellular host, such as yeast or bacteria, but may also be intended for introduction to and integration within the genome of a cultured insect, mammalian, plant or other eukaryotic cell lines. The polynucleotides of the present invention may also be produced by chemical synthesis, e.g., by the phosphoramidite method or the triester method, and may be performed on commercial automated oligonucleotide synthesizers. A double-stranded fragment may be obtained from the single stranded product of chemical synthesis either by synthesizing the complementary strand and annealing the strand together under appropriate conditions or by adding the complementary strand using DNA polymerase with an appropriate primer sequence. DNA constructs prepared for introduction into a prokaryotic or eukaryotic host will typically comprise a replication system recognized by the host, including the intended DNA fragment encoding the desired peptide, and will preferably also include transcription and translational initiation regulatory sequences operably linked to the polypeptide encoding segment. Expression vectors may include, for example, an origin of replication or autonomously replicating sequence (ARS) and expression control sequences, a promoter, an enhancer and necessary processing information sites, such as ribosome-binding sites, RNA splice sites, polyadenylation sites, transcriptional terminator sequences, and mRNA stabilizing sequences. Secretion signals from polypeptides secreted from the host cell of choice may also be included where appropriate, thus allowing the protein to cross and/or lodge in cell membranes, and thus attain its functional topology or be secreted from the cell. Appropriate promoter and other necessary vector sequences are selected so as to be functional in the host, and may, when appropriate, include those naturally associated with mycobacterial genes. Promoters such as the trp, lac and phage promoters, tRNA promoters and glycolytic enzyme promoters may be used in prokaryotic hosts. Useful yeast promoters include the promoter regions for metallothionein, 3-phosphoglycerate kinase or other glycolytic enzymes such as enolase or glyceraldehyde-3-phosphate dehydrogenase, enzymes responsible for maltose and galactose utilization, and others.

Appropriate non-native mammalian promoters may include the early and late promoters from SV40 or promoters derived from murine moloney leukemia virus, mouse mammary tumour virus, avian sarcoma viruses, adenovirus II, bovine papilloma virus or polyoma. In addition, the construct may be joined to an amplifiable gene (e.g., DHFR) so that multiple copies of the gene may be made. While such expression vectors may replicate autonomously, they may less preferably replicate by being inserted into the genome of the host cell. Expression and cloning vectors will likely contain a selectable marker, a gene encoding a protein necessary for the survival or growth of a host cell transformed with the vector. The presence of this gene ensures the growth of only those host cells which express the inserts. Typical selection genes encode proteins that (a) confer resistance to antibiotics or other toxic substances, e.g. ampicillin, neomycin, methotrexate, etc.; (b) complement auxotrophic deficiencies; or (c) supply critical nutrients not available from complex media, e.g. the gene encoding D-alanine racemase for Bacilli. The choice of appropriate selectable marker will depend on the host cell. The vectors containing the nucleic acids of interest can be transcribed in vitro and the resulting RNA introduced into the host cell (e.g., by injection), or the vectors can be introduced directly into host cells by methods which vary depending on the type of cellular host, including electroporation; transfection employing calcium chloride, rubidium chloride, calcium phosphate, DEAE-dextran, or other substances; microprojectile bombardment; lipofection; infection (where the vector is an infectious agent, such as a retroviral genome). The cells into which have been introduced nucleic acids described above are meant to also include the progeny of such cells. Large quantities of the nucleic acids and peptides of the present invention may be prepared by expressing the nucleic acids or portions thereof in vectors or other expression vehicles in compatible prokaryotic or eukaryotic host cells. The most commonly used prokaryotic hosts are strains of Escherichia coli, although other prokaryotes, such as Bacillus subtilis or Pseudomonas may also be used. Mammalian or other eukaryotic host cells, such as those of yeast, filamentous fungi, plant, insect, amphibian or avian species, may also be useful for production of the proteins of the present invention. Propagation of mammalian cells in culture is per se well known. Examples of commonly used mammalian host cell lines are VERO and HeLa cells, Chinese hamster ovary (CHO) cells, and WI38, BHK, and COS cell lines, although other cell lines may be appropriate, e.g., to provide higher expression, desirable glycosylation patterns. Clones are selected by using markers depending on the mode of the vector construction. The marker may be on the same or a different DNA molecule, preferably the same DNA molecule. The transformant may be screened or, preferably, selected by any of the means well known in the art, e.g., by resistance to such antibiotics as ampicillin, tetracycline.

The polynucleotides of the invention may be inserted into the host cell by any means known in the art, including for example, transformation, transduction, and electroporation. As used herein, “recombinant host cells”, “host cells”, “cells”, “cell lines”, “cell cultures”, and other such terms denoting microorganisms or higher eukaryotic cell lines cultured as unicellular entities refer to cells which can be, or have been, used as recipients for recombinant vector or other transfer DNA, and include the progeny of the original cell which has been transformed. It is understood that the progeny of a single parental cell may not necessarily be completely identical in morphology or in genomic or total DNA complement as the original parent, due to natural, accidental, or deliberate mutation. “Transformation”, as used herein, refers to the insertion of an exogenous polynucleotide into a host cell, irrespective of the method used for the insertion, for example, direct uptake, transduction, f-mating or electroporation. The exogenous polynucleotide may be maintained as a non-integrated vector, for example, a plasmid, or alternatively, may be integrated into the host cell genome.

In one embodiment, a DNA plasmid or RNA vector may encode a component of the immune system which is specific to an immune response following challenge with a peptide, wherein said peptide is encoded by a mycobacterial gene which is induced or up-regulated during oxygen limitation of mycobacterial growth.

An example of such a component is an antibody to the peptide product of an induced or up-regulated gene. Thus, in one embodiment, the nucleic acid sequence (eg. DNA plasmid or RNA vector) encodes the antibody in question.

An eighth aspect provides use of a peptide, an inhibitor, an antibody, an attenuated mycobacterium, an attenuated microbial carrier, a DNA sequence corresponding to the coding sequence of an induced or up-regulated gene or a fragment or variant or derivative of said DNA sequence, a DNA plasmid comprising said DNA sequence or said fragment or variant or derivative, an RNA sequence encoded by said DNA sequence or said fragment or variant or derivative, and/or an RNA vector comprising said RNA sequence according to the present invention, in the manufacture of a medicament for treating or preventing a mycobacterial infection.

The term “preventing” includes reducing the severity/intensity of, or initiation of, a mycobacterial infection.

The term “treating” includes post-infection therapy and amelioration of a mycobacterial infection.

In a related aspect, there is provided a method of treating or preventing a mycobacterial infection, comprising administration of a medicament selected from the group consisting of a peptide, an inhibitor, an antibody, an attenuated mycobacterium, an attenuated microbial carrier, a DNA sequence corresponding to the coding sequence of an induced or up-regulated gene or a fragment or variant or derivative of said DNA sequence, a DNA plasmid comprising said DNA sequence or said fragment or variant or derivative, an RNA sequence encoded by said DNA sequence or said fragment or variant or derivative, and/or an RNA vector comprising said RNA sequence according to the present invention, to a patient.

The medicament may be administered by conventional routes, eg. intravenous, intraperitoneal, intranasal routes.

The immunogenicity of the epitopes of the peptides of the invention may be enhanced by preparing them in mammalian or yeast systems fused with or assembled with particle-forming proteins such as, for example, that associated with hepatitis B surface antigen. Vaccines may be prepared from one or more immunogenic peptides of the present invention. Typically, such vaccines are prepared as injectables, either as liquid solutions or suspensions; solid forms suitable for solution in, or suspension in, liquid prior to injection may also be prepared. The preparation may also be emulsified, or the peptide encapsulated in liposomes. The active immunogenic ingredients are often mixed with excipients which are pharmaceutically acceptable and compatible with the active ingredient. Suitable excipients are, for example, water, saline, dextrose, glycerol, ethanol, or the like and combinations thereof. In addition, if desired, the vaccine may contain minor amounts of auxiliary substances such as wetting or emulsifying agents, pH buffering agents, and/or adjuvants which enhance the effectiveness of the vaccine. Examples of adjuvants which may be effective include but are not limited to: aluminum hydroxide, N-acetyl-muramyl-L-threonyl-D-isoglutamine (thr-MDP), N-acetyl-nor-muramyl-L-alanyl-D-isoglutamine (CGP 11637, referred to as nor-MDP), N-acetylmuramyl-L-alanyl-D-isoglutaminyl-L-alanine-2-(1′-2′-dipalmitoyl-s n-glycero-3-hydroxyphosphoryloxy)-ethylamine (CGP 19835A, referred to as MTP-PE), and RIBI, which contains three components extracted from bacteria, monophosphoryl lipid A, trehalose dimycolate and cell wall skeleton (MPL+TDM+CWS) in a 2% squalene/Tween 80 emulsion. The vaccines are conventionally administered parenterally, by injection, for example, either subcutaneously or intramuscularly. Additional formulations which are suitable for other modes of administration include suppositories and, in some cases, oral formulations or formulations suitable for distribution as aerosols. For suppositories, traditional binders and carriers may include, for example, polyalkylene glycols or triglycerides; such suppositories may be formed from mixtures containing the active ingredient in the range of 0.5% to 10%, preferably 1%-2%. Oral formulations include such normally employed excipients as, for example, pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, sodium saccharine, cellulose, magnesium carbonate, and the like. These compositions take the form of solutions, suspensions, tablets, pills, capsules, sustained release formulations or powders and contain 10%-95% of active ingredient, preferably 25%-70%. The peptides may be formulated into the vaccine as neutral or salt forms. Pharmaceutically acceptable salts include the acid addition salts (formed with free amino groups of the peptide) and which are formed with inorganic acids such as, for example, hydrochloric or phosphoric acids, or with organic acids such as acetic, oxalic, tartaric, maleic, and the like. Salts formed with the free carboxyl groups may also be derived from inorganic bases such as, for example, sodium, potassium, ammonium, calcium, or ferric hydroxides, and such organic bases as isopropylamine, trimethylamine, 2-ethylamino ethanol, histidine, procaine, and the like. The vaccines are administered in a manner compatible with the dosage formulation, and in such amount as will be prophylactically and/or therapeutically effective. The quantity to be administered, which is generally in the range of 5 micrograms to 250 micrograms of antigen per dose, depends on the subject to be treated, capacity of the subject's immune system to synthesize antibodies, and the degree of protection desired. Precise amounts of active ingredient required to be administered may depend on the judgment of the practitioner and may be peculiar to each subject. The vaccine may be given in a single dose schedule, or preferably in a multiple dose schedule. A multiple dose schedule is one in which a primary course of vaccination may be with 1-10 separate doses, followed by other doses given at subsequent time intervals required to maintain and or re-enforce the immune response, for example, at 1-4 months for a second dose, and if needed, a subsequent dose(s) after several months. The dosage regimen will also, at least in part, be determined by the need of the individual and be dependent upon the judgment of the practitioner. In addition, the vaccine containing the immunogenic mycobacterial antigen(s) may be administered in conjunction with other immunoregulatory agents, for example, immunoglobulins, as well as antibiotics.

The outcome of administering antibody-containing compositions may depend on the efficiency of transmission of antibodies to the site of infection. In the case of a mycobacterial respiratory infection (eg. a M. tuberculosis infection), this may be facilitated by efficient transmission of antibodies to the lungs.

In one embodiment the medicament may be administered intranasally (i.n.). This mode of delivery corresponds to the route of delivery of a M. tuberculosis infection and, in the case of antibody delivery, ensures that antibodies are present at the site of infection to combat the bacterium before it becomes intracellular and also during the period when it spreads between cells.

An intranasal composition may be administered in droplet form having approximate diameters in the range of 100-5000 μm, preferably 500-4000 μm, more preferably 1000-3000 μm. Alternatively, in terms of volume, the droplets would be in the approximate range of 0.001-100 μl, preferably 0.1-50 μl, more preferably 1.0-25 μl.

Intranasal administration may be achieved by way of applying nasal droplets or via a nasal spray.

In the case of nasal droplets, the droplets may typically have a diameter of approximately 1000-3000 μm and/or a volume of 1-25 μl.

In the case of a nasal spray, the droplets may typically have a diameter of approximately 100-1000 μm and/or a volume of 0.001-1 μl.

It is possible that, following i.n. delivery of antibodies, their passage to the lungs is facilitated by a reverse flow of mucosal secretions, although mucociliary action in the respiratory tract is thought to take particles within the mucus out of the lungs. The relatively long persistence in the lungs' lavage, fast clearance from the bile and lack of transport to the saliva of some antibodies suggest the role of mucosal site specific mechanisms.

In a different embodiment, the medicament may be delivered in an aerosol formulation. The aerosol formulation may take the form of a powder, suspension or solution.

The size of aerosol particles is one factor relevant to the delivery capability of an aerosol. Thus, smaller particles may travel further down the respiratory airway towards the alveoli than would larger particles. In one embodiment, the aerosol particles have a diameter distribution to facilitate delivery along the entire length of the bronchi, bronchioles, and alveoli. Alternatively, the particle size distribution may be selected to target a particular section of the respiratory airway, for example the alveoli.

The aerosol particles may be delivered by way of a nebulizer or nasal spray.

In the case of aerosol delivery of the medicament, the particles may have diameters in the approximate range of 0.1-50 μm, preferably 1-25 μm, more preferably 1-5 μm.

The aerosol formulation of the medicament of the present invention may optionally contain a propellant and/or surfactant.

By controlling the size of the droplets which are to be administered to a patient to within the defined range of the present invention, it is possible to avoid/minimise inadvertent antigen delivery to the alveoli and thus avoid alveoli-associated pathological problems such as inflammation and fibrotic scarring of the lungs.

I.n. vaccination engages both T and B cell mediated effector mechanisms in nasal and bronchus associated mucosal tissues, which differ from other mucosae-associated lymphoid tissues.

The protective mechanisms invoked by the intranasal route of administration may include: the activation of T lymphocytes with preferential lung homing; upregulation of co-stimulatory molecules, eg. B7.2; and/or activation of macrophages or secretory IgA antibodies.

Intranasal delivery of antigens may facilitate a mucosal antibody response is invoked which is favoured by a shift in the T cell response toward the Th2 phenotype which helps antibody production. A mucosal response is characterised by enhanced IgA production, and a Th2 response is characterised by enhanced IL-4 production.

Intranasal delivery of mycobacterial antigens allows targeting of the antigens to submucosal B cells of the respiratory system. These B cells are the major local IgA-producing cells in mammals and intranasal delivery facilitates a rapid increase in IgA production by these cells against the mycobacterial antigens.

In one embodiment administration of the medicament comprising a mycobacterial antigen stimulates IgA antibody production, and the IgA antibody binds to the mycobacterial antigen. In another embodiment, a mucosal and/or Th2 immune response is stimulated.

In another embodiment monoclonal antibodies, in particular, may be used to raise anti-idiotype antibodies. Anti-idiotype antibodies are immunoglobulins which carry an “internal image” of the antigen of the infectious agent against which protection is desired. These anti-idiotype antibodies may also be useful for treatment, vaccination and/or diagnosis of mycobacterial infections.

According to a ninth embodiment, the peptides of the present invention and antibodies to them are useful in immunoassays to detect the presence of antibodies to mycobacteria, or the presence of the virulence associated antigens in biological samples. Design of the immunoassays is subject to a great deal of variation, and many formats are known in the art. The immunoassay may utilize at least one epitope derived from a peptide of the present invention. In one embodiment, the immunoassay uses a combination of such epitopes. These epitopes may be derived from the same or from different bacterial peptides, and may be in separate recombinant or natural peptides, or together in the same recombinant peptides.

An immunoassay may use, for example, a monoclonal antibody directed towards a virulence associated peptide epitope(s), a combination of monoclonal antibodies directed towards epitopes of one mycobacterial antigen, monoclonal antibodies directed towards epitopes of different mycobacterial antigens, polyclonal antibodies directed towards the same antigen, or polyclonal antibodies directed towards different antigens. Protocols may be based, for example, upon competition, or direct reaction, or sandwich type assays. Protocols may also, for example, use solid supports, or may be by immunoprecipitation. Most assays involve the use of labelled antibody or polypeptide; the labels may be, for example, enzymatic, fluorescent, chemiluminescent, radioactive, or dye molecules. Assays which amplify the signals from the probe are also known; examples of which are assays which utilize biotin and avidin, and enzyme-labelled and mediated immunoassays, such as ELISA assays. Typically, an immunoassay for an antibody(s) to a peptide, will involve selecting and preparing the test sample suspected of containing the antibodies, such as a biological sample, then incubating it with an antigenic (i.e., epitope-containing) peptide(s) under conditions that allow antigen-antibody complexes to form, and then detecting the formation of such complexes. The immunoassay may be of a standard or competitive type. The peptide is typically bound to a solid support to facilitate separation of the sample from the peptide after incubation. Examples of solid supports that can be used are nitrocellulose (e.g., in membrane or microtiter well form), polyvinyl chloride (e.g., in sheets or microtiter wells), polystyrene latex (e.g., in beads or microtiter plates, polyvinylidine fluoride (known as Immulon), diazotized paper, nylon membranes, activated beads, and Protein A beads. For example, Dynatech Immulon microtiter plates or 60 mm diameter polystyrene beads (Precision Plastic Ball) may be used. The solid support containing the antigenic peptide is typically washed after separating it from the test sample, and prior to detection of bound antibodies. Complexes formed comprising antibody (or, in the case of competitive assays, the amount of competing antibody) are detected by any of a number of known techniques, depending on the format. For example, unlabelled antibodies in the complex may be detected using a conjugate of antixenogeneic Ig complexed with a label, (e.g., an enzyme label). In immunoassays where the peptides are the analyte, the test sample, typically a biological sample, is incubated with antibodies directed against the peptide under conditions that allow the formation of antigen-antibody complexes. It may be desirable to treat the biological sample to release putative bacterial components prior to testing. Various formats can be employed. For example, a “sandwich assay” may be employed, where antibody bound to a solid support is incubated with the test sample; washed; incubated with a second, labelled antibody to the analyte, and the support is washed again. Analyte is detected by determining if the second antibody is bound to the support. In a competitive format, a test sample is usually incubated with antibody and a labelled, competing antigen is also incubated, either sequentially or simultaneously. Also included as an embodiment of the invention is an immunoassay kit comprised of one or more peptides of the invention, or one or more antibodies to said peptides, and a buffer, packaged in suitable containers.

As used herein, a “biological sample” refers to a sample of tissue or fluid isolated from an individual, including but not limited to, for example, plasma, serum, spinal fluid, lymph fluid, the external sections of the skin, respiratory, intestinal, and genitourinary tracts, tears, saliva, milk, blood cells, tumours, organs, and also samples of in vitro cell culture constituents (including but not limited to conditioned medium resulting from the growth of cells in cell culture medium, putatively virally infected cells, recombinant cells, and cell components).

In a related diagnostic assay, the present invention provides nucleic acid probes for detecting a mycobacterial infection.

Using the polynucleotides of the present invention as a basis, oligomers of approximately 8 nucleotides or more can be prepared, either by excision from recombinant polynucleotides or synthetically, which hybridize with the mycobacterial sequences, and are useful in identification of mycobacteria. The probes are a length which allows the detection of the induced or up-regulated sequences by hybridization. While 6-8 nucleotides may be a workable length, sequences of 10-12 nucleotides are preferred, and at least about 20 nucleotides appears optimal. These probes can be prepared using routine methods, including automated oligonucleotide synthetic methods. For use as probes, complete complementarity is desirable, though it may be unnecessary as the length of the fragment is increased. For use of such probes as diagnostics, the biological sample to be analyzed, such as blood or serum, may be treated, if desired, to extract the nucleic acids contained therein. The resulting nucleic acid from the sample may be subjected to gel electrophoresis or other size separation techniques; alternatively, the nucleic acid sample may be dot blotted without size separation. The probes are usually labeled. Suitable labels, and methods for labeling probes are known in the art, and include, for example, radioactive labels incorporated by nick translation or kinasing, biotin, fluorescent probes, and chemiluminescent probes. The nucleic acids extracted from the sample are then treated with the labeled probe under hybridization conditions of suitable stringencies. The probes may be made completely complementary to the virulence encoding polynucleotide. Therefore, usually high stringency conditions are desirable in order to prevent false positives. The stringency of hybridization is determined by a number of factors during hybridization and during the washing procedure, including temperature, ionic strength, length of time, and concentration of formamide. It may be desirable to use amplification techniques in hybridization assays. Such techniques are known in the art and include, for example, the polymerase chain reaction (PCR) technique. The probes may be packaged into diagnostic kits. Diagnostic kits include the probe DNA, which may be labeled; alternatively, the probe DNA may be unlabeled and the ingredients for labeling may be included in the kit in separate containers. The kit may also contain other suitably packaged reagents and materials needed for the particular hybridization protocol, for example, standards, as well as instructions for conducting the test.

In a preferred embodiment, a peptide (or fragment or variant or derivative) of the present invention is used in a diagnostic assay to detect the presence of a T-lymphocyte which T lymphocyte has been previously exposed to an antigenic component of a mycobacterial infection in a patient.

In more detail, a T-lymphocyte which has been previously exposed to a particular antigen will be activated on subsequent challenge by the same antigen. This activation provides a means for identifying a positive diagnosis of mycobacterial infection. In contrast, the same activation is not achieved by a T-lymphocyte which has not been previously exposed to the particular antigen.

The above “activation” of a T-lymphocyte is sometimes referred to as a “recall response” and may be measured, for example, by determining the release of interferon (eg. IFN-γ) from the activated T-lymphocyte. Thus, the presence of a mycobacterial infection in a patient may be determined by the release of a minimum concentration of interferon from a T-lymphocyte after a defined time period following in vitro challenge of the T-lymphocyte with a peptide (or fragment or variant or derivative) of the present invention.

In use, a biological sample containing T-lymphocytes is taken from a patient, and then challenged with a peptide (or fragment, variant, or derivative thereof of the present invention.

The above T-lymphocyte diagnostic assay may include an antigen presenting cell (APC) expressing at least one major histocompatibility complex (MHC) class II molecule expressed by the patient in question. The APC may be inherently provided in the biological sample, or may be added exogenously. In one embodiment, the T-lymphocyte is a CD4 T-lymphocyte.

EXAMPLE 1 Continuous Culture of Mycobacteria Materials and Methods Strain

Studies were performed with M. tuberculosis strain H37Rv (NCTC cat. no. 7416)—a representative strain of M. tuberculosis. Stock cultures were grown on Middlebrook 7H10+OADC for 3 weeks at 37±2° C. harvested and stored at −70° C. as a dense suspension in deionised water.

Culture Medium

A chemically defined culture medium was developed, and was designated CAMR Mycobacterial Medium (see WO00/52139). The medium was prepared with high quality water from a Millepore water purification system and filter sterilised by passage through a 0.07 μm pore size cellulose acetate membrane filter capsule (Sartorius Ltd). Middlebrook 7H10+OADC agar was used to prepare inoculum cultures, enumerate the number of culturable bacteria in chemostat samples, and to assess culture purity.

Culture Apparatus

Culture experiments were performed in a one litre glass vessel operated at a working volume of 500 ml. The culture was agitated by a magnetic bar placed in the culture vessel coupled to a magnetic stirrer positioned beneath the vessel. Culture conditions were continuously monitored and controlled by an Anglicon Microlab Fermentation System (Brighton Systems, Newhaven), linked to sensor probes inserted into the culture through sealed ports in the top plate. The oxygen concentration was monitored with a galvanic oxygen electrode (Uniprobe, Cardiff) and was controlled through feedback control of the agitation rate. Temperature was monitored by an Anglicon temperature probe, and maintained by a heating pad positioned beneath the culture vessel. Culture pH was measured using an Ingold pH electrode (Mettler-Toledo, Leicester) and controlled by automatic addition of either sodium hydroxide (0.5 M) or sulphuric acid (0.5 M). For continuous culture, the culture system was operated by controlling nutrient addition from the medium reservoir and a constant culture volume was maintained by an overflow tube fitted to the side of the vessel.

Inoculation and Culture

The vessel was filled with 350 ml of sterile culture medium and parameters were allowed to stabilise at 37° C.±2° C., pH 6.9±0.2 and a dissolved oxygen tension of approximately 70% air saturation. A dense inoculum suspension was prepared by resuspending Middlebrook agar cultures, grown at 37±2° C. for 3 weeks, in sterile deionised water. The inoculum was aseptically transferred to the culture vessel, to provide an initial culture turbidity of approximately 0.25 at 540 nm. After inoculation the culture was allowed to establish for approximately 50 h. As the culture entered exponential growth, a further 100 ml medium was added and batch growth was monitored by optical density and viable count determination.

For continuous culture, the culture was inoculated and allowed to establish for approximately 50 h as detailed. The culture was then operated in fed batch mode for 48 h with medium addition (approx. 100 ml) as the culture entered exponential growth and 24 h later. Continuous culture was then initiated at a dilution rate of 0.03 h⁻¹ [equivalent to a mean generation time (MGT) of 24 h]. Culture parameters were maintained at a dissolved oxygen tension (DOT) of 50% (v/v) air saturation at 37±2° C. and pH 6.9±0.2 for “high” dissolved oxygen culture conditions, and a DOT of 1% (v/v) air saturation at 37±2° C. and pH 6.9±0.2 for “low” dissolved oxygen culture conditions. Growth was monitored by optical density, dry weight and viable count determination.

Continuous Culture

Steady-state growth, at a MGT of 24 h, was normally reached 10 days after initiation of continuous culture. Cultures were dense suspensions containing approximately 5×10⁸ cfu ml⁻¹ and a biomass yield of approximately 1.2 gl⁻¹ cell dry weight. Cells were short rods 2 to 3 μm long with occasional clumps of up to 20 cells. Glycerol, the principal carbon source was not depleted during steady state growth, with a residual concentration of 1.25 gl⁻¹. Tween® 80 was present in an amount of 0.1% and enabled the growth of M. tuberculosis in a homogeneous suspension made up substantially of single cells at a growth rate conducive to chemostat culture. Cultures grown in the absence of Tween® 80 formed large clumps and surface pellicles and continuous culture was not possible.

EXAMPLE 2 Virulence Data

Cultures grown at a DOT of 50% were virulent in the guinea pig model of infection as determined by their ability to establish infection after aerosol delivery, proliferate in the lung, disseminate to the spleen and cause histopathology indicative of primary pulmonary tuberculosis.

A new virulence assay has developed to assess and compare the virulence of culture samples based on their ability to cause a disseminated infection. The assay determined the dose required in the lung at day 0 in order to produce a disseminated infection with 3.0 log₁₀ cfu in the spleen at day 16. This value was termed the infectivity index.

Using this assay, the infectivity of cells grown in aerobic chemostat culture was comparable to that of cells grown on standard Middlebrook agar. This supports our previous finding that cells grown in our culture system are virulent and there is no loss in virulence associated with growth in our culture system (see Table 1).

The infectivity index for cells grown at low oxygen tension (1% DOT) was significantly lower than that for aerobic cells indicating that growth at low oxygen tension enhances the virulence of M. tuberculosis i.e. a significantly lower dose is required in order to produce a comparable infection.

TABLE 1 Sample Infectivity Index* Plate 2.0 Aerobic chemostat (50% DOT) 2.1, 2.2 Low oxygen chemostat (1% DOT) 1.4, 1.5 *Values are the dose log₁₀ required in the lung at day 0 in order to produce a disseminated infection with 3.0 log₁₀ in the spleen at day 16.

EXAMPLE 3 RNA Extraction from M. tuberculosis for Microarray Analysis Materials and Methods

Trizol (Life Technologies)—formulation of phenol and guanidine thiocyanate.

GTC lysis solution containing: 5M guanidine thiocyanate, 0.5% N-lauryl sarcosine, 25 mM tri-sodium citrate, 0.1M 2-mercaptoethanol, and 0.5% Tween 80.

Chloroform Isopropanol

3M sodium acetate

70% Ethanol

microfuge ribolyser

Sterile plasticware-Falcon tubes, screw capped eppendorfs, gilson tips—all RNase free

Glassware—baked at 160° C. for at least 16 hours

Method

Steps performed at Containment level 3; within a Class III microbiological safety cabinet.

Remove 10 or 20 ml of culture (10⁹/ml) and immediately add this to 4 volumes of GTC lysis buffer in a plastic specimen pot. Seal the pot tightly.

Incubate the cells in GTC lysis buffer for 1 hour at room temperature. Surface decontaminate the plastic pot with 5% Hycolin for 5 minutes. Transfer the sample to the pass box and place it into a plastic carry tin with a sealable lid. Close the container securely and transport it to a non-toxic cabinet CL3 cabinet.

Equally distribute the lysis mixture between Falcon tubes. Place these tubes into centrifuge buckets and seal the buckets tightly. Surface-decontaminate the buckets for 5 minutes with 5% Hycolin. Then transfer them to the centrifuge (Baird and Tatlock Mark IV refrigerated bench-top centrifuge). Spin the tubes at 3,000 rpm for 30 minutes.

Return the unopened buckets to the cabinet. Remove the centrifuge tubes and pour the supernatant into a waste bottle for GTC lysis buffer.

Resuspend each pellet in 1 ml of Trizol (formulation of phenol and GTC cat no. 15596-026). The manufacturers guidelines recommend lysing cells by repetitive pipetting. Although this action alone will not lyse M. tuberculosis, it is important to completely resuspend the pellet in Trizol.

Transfer 1 ml of cells into a FastRNA tube and ribolyse it at power setting 6.5 for 45 seconds.

Leave the tube to incubate at room temperature for 5 minutes.

Remove the aqueous layer from the tube and add this to 200 μl of chloroform in a screw-capped eppendorf tube. Shake each tube vigorously for about 15 seconds. Incubate for 2-3 minutes at room temperature.

Spin the tube at 13,000 rpm for 15 minutes. Following centrifugation, the liquid separates into red phenol/chloroform phase, an interface, and a clear aqueous phase.

Carefully remove the aqueous phase and transfer it to a fresh eppendorf tube containing 500 μl of chloroform/isoamyl alcohol (24:1). Spin the tubes at 13,000 rpm for 15 minutes.

Transfer the aqueous phase to an eppendorf tube containing 50 μl of sodium acetate and 500 μl of isopropanol.

Surface decontaminate the eppendorf tube with 5% Hycolin for 5 minutes. Remove the tube from the CL3 laboratory and continue with the procedure in laboratory 157.

Steps performed at Containment level 2:

Precipitate the RNA at −70° C. for at least 30 minutes—can do this step overnight.

Spin the precipitated RNA down at 13,000 rpm for 10 minutes. Remove the

supernatant and wash the pellet in 70% ethanol. Repeat centrifugation.

Remove the 70% ethanol and air-dry the pellet. Dissolve the pellet in RNAse free water.

Freeze the RNA at −70° C. to store it.

EXAMPLE 4 cDNA Labelling, Hybridisation, and Analysis Preparation of the Arrays

PCR-amplified products are generated from M. tuberculosis genomic DNA using ORF-specific primers. Each gene of the genome is represented. These are spotted in a grid onto a standard glass microscope slide using a BioRobotics microgrid robot (MWG Biotech) at a resolution of >4000 spots/cm².

Fluorescently-labelled cDNA is transcribed from RNA which has been isolated from bacteria grown under different environmental conditions. The cDNA is labelled by incorporation of either Cy3 or Cy5 labelled dCTP (Dyes are supplied by Amersham Pharmacia Biotech). Dual fluorescence is used, allowing simultaneous detection of two cDNA samples. The output of the arrays is read using a confocal laser scanner (Affymetrix 428 scanner from MWG Biotech). More detailed information can be found web site www.sghms.ac.uk/depts/medmicro/bugs; Mujumdar, R. B. (1993) Bioconjugate Chemistry, 4(2), pp. 105-111; Yu, H. (1994) Nucl. Acids Res. 22, pp. 3226-3232; and Zhu, Z. (1994) Nucl. Acids Res. 22, pp. 3418-3422.

Labelling and Hybridisation of the cDNA 1. Cy3/Cy5 Label cDNA

-   -   Prepare one Cy3 and one Cy5 labelled cDNA sample per microarray         slide.

Each sample: RNA 2-10 μg Random primers (3 μg/μl) 2 μl H₂O to 11 μl

-   -   Heat at 95° C. for 5 min, snap cool on ice and briefly         centrifuge.

Add to each: 5x First Strand Buffer   5 μl DTT (100 mM) 2.5 μl dNTPs (5 mM dA/G/TTP, 2 mM dCTP) 2.3 μl Cy3 OR Cy5 dCTP 1.7 μl SuperScript II (200 U/μl 2.5 μl

-   -   Incubate at 25° C. for 10 min followed by 42° C. for 90 min.

2. Prehybridise Slide

-   -   Mix the prehybridisation solution in a coplin jar and incubate         at 60° during the labelling reaction to equilibriate.

Prehybridisation: 20xSSC 8.75 ml (3.5xSSC) 20% SDS 250 μl (0.1% SDS) BSA (100 mg/ml) 5 ml (10 mg/ml) H₂O to 50 ml

-   -   Incubate the microarray slide in the pre-heated prehybridisation         solution at 60° C. for 20 min. Rinse slide in H₂O for 1 min         followed by rinse in propan-2-ol for 1 min and centrifuge slide         in 50 ml centrifuge tube at 1500 rpm for 5 min to dry. Store         slide until hybridisation.         3. Purify Cy3/Cy5 Labelled cDNA     -   Combine the Cy3 and Cy5 labelled cDNA samples together in a         single tube.

Add: 3M sodium acetate pH 4.8  5 μl (0.1 volume) Propan-2-ol 40 μl (0.8 volume)

-   -   Wrap the tube in foil and incubate at room temperature for 30         min. Centrifuge at 13000 rpm for 20 min and remove supernatant.         Rinse pellet with 100 μl 70% ethanol and centrifuge at 13000 rpm         for 5 min. Remove the supernatant and air dry the pellet for 10         min. Resuspend the pellet in 10.5 μl H₂O.         4. Hybridise Slide with Cy3/Cy5 Labelled cDNA     -   Place the prehybridise microarray slide in the hybridisation         cassette and add two 15 μl aliquots of H₂O to the wells in the         cassette. Mix resuspended Cy3/Cy5 labelled cDNA sample with         hybridisation solution.

Hybridisation: Cy3/Cy5 labelled cDNA sample 10.5 μl 20xSSC 3.2 μl (4xSSC) 2% SDS 2.3 μl (0.3% SDS)

-   -   Heat hybridisation solution at 95° C. for 2 min. Do NOT snap         cool on ice but allow to cool slightly and briefly centrifuge.         Pipette the hybridisation solution onto the slide at the edge of         the arrayed area avoiding bubble formation. Using forceps         carefully drag the edge of a cover slip along the surface of the         slide towards the arrayed area and into the hybridisation         solution at the edge of the array. Carefully lower the cover         slip down over the array avoiding any additional movement once         in place. Seal the hybridisation cassette and submerge in a         water bath at 60° C. for 16-20 h.

5. Wash Slide

-   -   Remove microarray slide from hybridisation cassette and         initially wash slide carefully in staining trough of Wash A to         remove cover slip. Once cover slip is displaced place slide(s)         in slide rack and continue agitating in Wash A for a further 2         min.

Wash A: 20xSSC 20 ml (1xSSC) 20% SDS 1 ml (0.05% SDS) H₂O to 400 ml

-   -   Transfer slide(s) to a clean slide rack and agitate in first         trough of Wash B for 2 min. Wash in second trough of Wash B with         agitation for 2 min.

Wash B (x2): 20xSSC 1.2 ml (0.06xSSC) H₂O to 400 ml

-   -   Place slide into a 50 ml centrifuge tube and centrifuge at 1500         rpm for 5 mins to dry slide.

6. Scan Slide

-   -   Scan slide using a ScanArray 3000 dual-laser confocal scanner         and analyse data.

Reagents

Random primers (3 μl μl) [Life Technol., Cat# 48190-011] dNTPs (5 mM dATP, dGTP, dTTP, & 2 mM dCTP) [Life Technol., Cat# 10297-018] Cy3 dCTP Fluorolink [Amersham Pharmacia Biotech, Cat# PA53021] Cy5 dCTP Fluorolink [Amersham Pharmacia Biotech, Cat# PA55021]

SuperScript II Reverse Transcriptase (200 U/μl) [Life Technol., Cat# 18064-014]

5× First Strand Buffer [Life Technol., supplied with Cat# 18064-014] Dithiothreitol (DTT) (100 mM) [Life Technol., supplied with Cat# 18064-014] Bovine serum albumin (BSA) Fraction V 96-99% (100 mg/ml) [Sigma, Cat# A9418]

General: 20×SSC

-   -   20% SDS     -   3M sodium acetate pH4.8     -   Propan-2-ol     -   70% ethanol     -   2% SDS

Equipment

Microarray hybridisation cassette [Telechem International (Arraylt.com), Cat# AHC-1] Coplin staining jar [Fisher Scientific, Cat# MNK-820-H] 3× slide staining troughs (Fisher Scientific, Cat# MNK-836-K] 2× slide staining racks [Fisher Scientific, Cat# MNK-841-K] Glass cover slips 22×22 mm [BDH, Cat# 406/0187/33].

Scanning and Analysis

The slides were scanned using an Affymetrix 428 scanner. The raw data were initially analysed in software known as ImaGene, which was supplied with the scanner. The scanned images were then transferred to another software package known as GeneSpring. This is a very powerful tool, which draws information from many databases allowing the complete analysis of the expression of each gene.

Results

Total RNA was extracted from steady state chemostat culture according to the protocol described above. RNA microarray hybridisation was performed in duplicate to compare RNA extracted from M. tuberculosis grown in aerobic (50% DOT) and low oxygen environments (1% DOT).

The two expression profiles were analysed and compared. Genes that appeared to be up regulated at least 1.5-fold under low oxygen conditions were selected for identification.

Nucleic acid sequences are given from the transcription start site to the stop codon.

EXAMPLE 5 Delete One or More of the Genes from M. tuberculosis in Order to Attenuate its Virulence while Retaining Immunogenicity

One or more genes that are identified may be disrupted using allelic exchange. In brief, the gene of interest is cloned with 1-2 kb of flanking DNA either side and is inactivated by deletion of part of the coding region and insertion of an antibiotic resistance marker, such as hygromycin.

The manipulated fragment is then transferred to a suitable suicide vector e.g. pPR23 and is transformed into the wild-type parent strain of M. tuberculosis. Mutants are recovered by selecting for antibiotic resistant strains. Genotypic analysis (Southern Blotting with a fragment specific to the gene of interest) is performed on the selected strains to confirm that the gene has been disrupted.

The mutant strain is then studied to determine the effect of the gene disruption on the phenotype. In order to use it as a vaccine candidate it would be necessary to demonstrated attenuated virulence. This can be done using either a guinea pig or mouse model of infection. Animals are infected with the mutant strain and the progression of disease is monitored by determining the bacterial load in different organs, in particular the lung and spleen, at specific time points post infection, typically up to 16 weeks.

Comparison is made to animals infected with the wild-type strain which should have a significantly higher bacterial load in the different organs. Long-term survival studies and histopathology can also be used to assess virulence and pathogenicity.

Once attenuated virulence has been established, protection and immunogenicity studies can be performed to assess the potential of the strain as a vaccine. Suitable references for allelic exchange and preparation of TB mutants are McKinney et al., 2000 and Pelicic et al., 1997, [1, 2].

EXAMPLE 6 Select One or More of Our Genes, which Encode Proteins that are Immunogenic, and Put them into BCG or an Attenuated Strain of M. tuberculosis to Enhance its Overall Immunogenicity

The gene of interest is amplified from the M. tuberculosis genome by PCR. The amplified product is purified and cloned into a plasmid (pMV306) that integrates site specifically into the mycobacterial genome at the attachment site (attB) for mycobacteriophage L5 [3].

BCG is transformed with the plasmid by electroporation, which involves damaging the cell envelope with high voltage electrical pulses, resulting in uptake of the DNA. The plasmid integrates into the BCG chromosome at the attB site generating stable recombinants. Recombinants are selected and are checked by PCR or Southern blotting to ensure that the gene has been integrated. The recombinant strain is then used for protection studies.

EXAMPLE 7 Use Recombinant Carriers Such as Attenuated Salmonella and the Vaccinia Virus to Express and Present TB Genes

One of the best examples of this type of approach is the use of Modified Vaccinia virus Ankara (MVA) [4]. The gene of interest is cloned into a vaccinia virus shuttle vector, e.g. pSC11. Baby Hamster Kidney (BHK) cells are then infected with wild-type MVA and are transfected with the recombinant shuttle vector. Recombinant virus is then selected using a suitable selection marker and viral plaques, selected and purified.

Recombinant virus is normally delivered as part of a prime-boost regime where animals are vaccinated initially with a DNA vaccine encoding the TB genes of interest under the control of a constitutive promoter. The immune response is boosted by administering recombinant MVA carrying the genes of interest to the animals at least 2 weeks later.

EXAMPLE 8 Sub-Unit Vaccines Containing a Single Peptide/Protein or a Combination of Proteins

To prepare sub-unit vaccines with one or more peptides or proteins it is first of all necessary to obtain a supply of protein or peptide to prepare the vaccine. Up to now, this has mainly been achieved in mycobacterial studies by purifying proteins of interest from TB culture. However, it is becoming more common to clone the gene of interest and produce a recombinant protein.

The coding sequence for the gene of interest is amplified by PCR with restriction sites inserted at the N terminus and C terminus to permit cloning in-frame into a protein expression vector such as pET-15b. The gene is inserted behind an inducible promoter such as lacZ. The vector is then transformed into E. coli which is grown in culture. The recombinant protein is over-expressed and is purified.

One of the common purification methods is to produce a recombinant protein with an N-terminal His-tag. The protein can then be purified on the basis of the affinity of the His-tag for metal ions on a Ni-NTA column after which the His-tag is cleaved. The purified protein is then administered to animals in a suitable adjuvant [5].

EXAMPLE 9 Plasmid DNA Vaccines Carrying One or More of the Identified Genes

DNA encoding a specific gene is amplified by PCR, purified and inserted into specialised vectors developed for vaccine development, such as pVAX1. These vectors contain promoter sequences, which direct strong expression of the introduced DNA (encoding candidate antigens) in eukaryotic cells (e.g. CMV or SV40 promoters), and polyadenlyation signals (e.g. SV40 or bovine growth hormone) to stabilise the mRNA transcript.

The vector is transformed into E. coli and transformants are selected using a marker, such as kanamycin resistance, encoded by the plasmid. The plasmid is then recovered from transformed colonies and is sequenced to check that the gene of interest is present and encoded properly without PCR generated mutations.

Large quantities of the plasmid is then produced in E. coli and the plasmid is recovered and purified using commercially available kits (e.g. Qiagen Endofree-plasmid preparation). The vaccine is then administered to animals for example by intramuscular injection in the presence or absence of an adjuvant.

EXAMPLE 10 Preparation of DNA Expression Vectors

DNA vaccines consist of a nucleic acid sequence of the present invention cloned into a bacterial plasmid. The plasmid vector pVAX1 is commonly used in the preparation of DNA vaccines. The vector is designed to facilitate high copy number replication in E. coli and high level transient expression of the peptide of interest in most mammalian cells (for details see manufacturers protocol for pVAX1 (catalog no. V260-20 www.invitrogen.com).

The vector contains the following elements

-   -   Human cytomegalovirus immediate-early (CMV) promoter for         high-level expression in a variety of mammalian cells     -   T7 promoter/priming site to allow in vitro transcription in the         sense orientation and sequencing through the insert     -   Bovine growth hormone (BGH) polyadenylation signal for efficient         transcription termination and polyadenylation of mRNA     -   Kanamycin resistance gene for selection in E. Coli     -   A multiple cloning site     -   pUC origin for high-copy number replication and growth in E.         coli     -   BGH reverse priming site to permit sequencing through the insert

Vectors may be prepared by means of standard recombinant techniques which are known in the art, for example Sambrook et al., (1989). Key stages in preparing the vaccine are as follows:

-   -   The gene of interest is ligated into pVAX1 via one of the         multiple cloning sites     -   The ligation mixture is then transformed into a competent E.         coli strain (e.g. TOP10) and LB plates containing 50 μg/ml         kanamycin are used to select transform ants.     -   Clones are selected and may be sequenced to confirm the presence         and orientation of the gene of interest.     -   Once the presence of the gene has been verified, the vector can         be used to transfect a mammalian cell line to check for protein         expression. Methods for transfection are known in the art and         include, for example, electroporation, calcium phosphate, and         lipofection.     -   Once peptide expression has been confirmed, large quantities of         the vector can be produced and purified from the appropriate         cell host, e.g. E. coli.

pVAX1 does not integrate into the host chromosome. All non-essential sequences have been removed to minimise the possibility of integration. When constructing a specific vector, a leader sequence may be included to direct secretion of the encoded protein when expressed inside the eukaryotic cell.

Other examples of vectors that have been used are VlJns.tPA and pCMV4 (Lefevre et al., 2000 and Vordermeier et al., 2000).

Expression vectors may be used that integrate into the genome of the host, however, it is more common and more preferable to use a vector that does not integrate. The example provided, pVAX1, does not integrate. Integration would lead to the generation of a genetically modified host which raises other issues.

EXAMPLE 11 RNA vaccine

As discussed on page 15 of U.S. Pat. No. 5,783,386, one approach is to introduce RNA directly into the host.

Thus, the vector construct (Example 10) may be used to generate RNA in vitro and the purified RNA then injected into the host. The RNA would then serve as a template for translation in the host cell. Integration would not occur.

Another option is to use an infectious agent such as the retroviral genome carrying RNA corresponding to the gene of interest. Here you will get integration into the host genome

Another option is the use of RNA replicon vaccines which can be derived from virus vectors such as Sindbis virus or Semliki Forest virus. These vaccines are self-replicating and self-limiting and may be administered as either RNA or DNA which is then transcribed into RNA replicons in vivo. The vector eventually causes lysis of the transfected cells thereby reducing concerns about integration into the host genome. Protocols for RNA vaccine construction are detailed in Cheng et al., (2001).

EXAMPLE 12 Diagnostic Assays Based on Assessing T Cell Responses

For a diagnostic assay based on assessing T cell responses it would be sufficient to obtain a sample of blood from the patient. Mononuclear cells (monocytes, T and B lymphocytes) can be separated from the blood using density gradients such as Ficoll gradients.

Both monocytes and B-lymphocytes are both able to present antigen, although less efficiently than professional antigen presenting cells (APCs) such as dendritic cells. The latter are more localised in lymphoid tissue.

The simplest approach would be to add antigen to the separated mononuclear cells and incubate for a week and then assess the amount of proliferation. If the individual had been exposed to the antigen previously through infection, then T-cell closes specific to the antigen should be more prevalent in the sample and should respond.

It is also possible to separate the different cellular populations should it be desired to control the ratio of T cells to APC's.

Another variation of this type of assay is to measure cytokine production by the responding lymphocytes as a measure of response. The ELISPOT assay described below in Example 13 is a suitable example of this variation.

EXAMPLE 13 Detection of Latent Mycobacteria

A major problem for the control of tuberculosis is the presence of a large reservoir of asymptomatic individuals infected with tubercle bacilli. Dormant bacilli are more resistant to front-line drugs.

The presence of latent mycobacteria-associated antigen may be detected indirectly either by detecting antigen specific antibody or T-cells in blood samples.

The following method is based on the method described in Lalvani et al. (2001) in which a secreted antigen, ESAT-6, was identified as being expressed by members of the M. tuberculosis complex but is absent from M. bovis BCG vaccine strains and most environmental mycobacteria. 60-80% of patients also have a strong cellular immune response to ESAT-6. An ex-vivo ELISPOT assay was used to detect ESAT-6 specific T cells.

As applied to the present invention:

A 96 well plate is coated with cytokine (e.g. interferon-γ, IL-2)-specific antibody. Peripheral blood monocytes are then isolated from patient whole blood and are applied to the wells.

Antigen (ie. one of the peptides, fragments, derivatives or variants of the present invention) is added to stimulate specific T cells that may be present and the plates are incubated for 24 h. The antigen stimulates cytokine production which then binds to the specific antibody.

The plates are washed leaving a footprint where antigen-specific T cells were present.

A second antibody coupled with a suitable detection system, e.g. enzyme, is then added and the number of spots are enumerated after the appropriate substrate has been added.

The number of spots, each corresponding to a single antigen-specific T cell, is related to the total number of cells originally added.

The above Example also describes use of an antigen that may be used to distinguish TB infected individuals from BCG vaccinated individuals. This could be used in a more discriminative diagnostic assay.

EXAMPLE 14 Alternative Protocol for Transcriptomics Analysis a) Experimental Design

RNA was extracted from aerobic (50% DOT) and low-oxygen (1% DOT) cultures and fluorescently labelled cDNA was transcribed from each sample of RNA. Fluorescently labelled cDNA was also transcribed from genomic DNA which had been extracted from M. tuberculosis.

In each microarray experiment a whole genome array was hybridised with a sample of labelled cDNA generated from RNA from one culture sample (Test sample). Each array was also hybridised with control cDNA prepared from genomic DNA (Control sample). The test and control cDNAs were each labelled with a different cy dye.

Nine separate arrays were performed for aerobic samples and seven low-oxygen arrays were performed. Each array was scanned at two different wavelengths corresponding to the excitation maxima of each dye using an Affymetric 428 array scanner. The intensity of the emitted light was recorded and the data was analysed using GeneSpring software.

The test sample data on each chip was normalised against the control data followed by per chip normalisation about the median intensity value, using the 50th percentile, and finally per gene normalisation across all the arrays. In this instance those genes which were expressed at least 1.5-fold higher under low-oxygen conditions relative to aerobic culture were selected for identification.

b) RNA Extraction from M. tuberculosis for Microarray Analysis

Materials and Methods

Trizol (Life Technologies)—formulation of phenol and guanidine thiocyanate.

GTC lysis solution containing: 5M guanidine thiocyanate, 0.5% N-lauryl sarcosine, 25 mM tri-sodium citrate, 0.1M 2-mercaptoethanol, and 0.5% Tween 80.

Chloroform, Isopropanol

3M sodium acetate

70% Ethanol

microfuge, ribolyser Sterile plasticware-Falcon tubes, screw capped eppendorfs, gilson tips—all RNase free Glassware—baked at 160° C. for at least 16 hours

Method

Steps performed at Containment level 3; within a Class III microbiological safety cabinet.

-   -   Remove 10 or 20 ml of culture (10⁹/ml) and immediately add this         to 4 volumes of GTC lysis buffer in a plastic specimen pot. Seal         the pot tightly.     -   Incubate the cells in GTC lysis buffer for 1 hour at room         temperature. Surface decontaminate the plastic pot with 5%         Hycolin for 5 minutes. Transfer the sample to the pass box and         place it into a plastic carry tin with a sealable lid. Close the         container securely and transport it to a non-toxic cabinet CL3         cabinet.     -   Equally distribute the lysis mixture between Falcon tubes. Place         these tubes into centrifuge buckets and seal the buckets         tightly. Surface-decontaminate the buckets for 5 minutes with 5%         Hycolin. Then transfer them to the centrifuge (Baird and Tatlock         Mark IV refrigerated bench-top centrifuge). Spin the tubes at         3,000 rpm for 30 minutes.     -   Return the unopened buckets to the cabinet. Remove the         centrifuge tubes and pour the supernatant into a waste bottle         for GTC lysis buffer.     -   Resuspend each pellet in 1 ml of Trizol (formulation of phenol         and GTC cat no. 15596-026). The manufacturers guidelines         recommend lysing cells by repetitive pipetting. Although this         action alone will not lyse M. tuberculosis, it is important to         completely resuspend the pellet in Trizol.     -   Transfer 1 ml of cells into each FastRNA tube and ribolyse them         at power setting 6.5 for 45 seconds.     -   Leave the tubes to incubate at room temperature for 5 minutes.     -   Remove the aqueous layer from each tube and add this to 200 μl         of chloroform in a screw-capped eppendorf tube. Shake each tube         vigorously for about 15 seconds. Incubate for 2-3 minutes at         room temperature.     -   Spin the tubes at 13,000 rpm for 15 minutes. Following         centrifugation, the liquid separates into red phenol/chloroform         phase, an interface, and a clear aqueous phase.     -   Carefully remove the aqueous phase and transfer it to fresh         eppendorf tubes containing 500 μl of chloroform/isoamyl alcohol         (24:1). Spin the tubes at 13,000 rpm for 15 minutes.     -   Transfer the aqueous phase to eppendorf tubes containing 50 μl         of sodium acetate and 500 μl of isopropanol.     -   Surface decontaminate the eppendorf tubes with 5% Hycolin for 5         minutes. Remove the tubes from the CL3 laboratory and continue         with the procedure in laboratory 157.     -   Steps performed at Containment level 2:     -   Precipitate the RNA at −70° C. for at least 30 minutes—can do         this step overnight.     -   Spin the precipitated RNA down at 13,000 rpm for 10 minutes.         Remove the supernatant and wash the pellet in 70% ethanol.         Repeat centrifugation.     -   Remove the 70% ethanol and air-dry the pellet. Dissolve the         pellet in RNAse free water.     -   Freeze the RNA at −70° C. to store it.     -   The RNA was treated with DNAse1 to remove genomic DNA and was         then purified using RNeasy mini columns (Qiagen). Both methods         were performed according to the manufacturers guidelines.         c) Isolation of Genomic DNA from M. tuberculosis Grown in         Chemostat Culture

DNA is then used to generate Cy3 or Cy5 labelled DNA for use as a control in microarray experiments

Materials and Methods

Beads 0.5 mm in diameter Bead beater Bench top centrifuge Platform rocker Heat block Falcon 50 ml centrifuge tubes Sorvall RC-5C centrifuge 250 ml polypropylene centrifuge pots. Screw capped eppendorf tubes

Pipettes 1 ml, 200 μl, 10 ml, 5 ml

Breaking buffer—

50 mM Tris HCL pH 8.0 mM EDTA 100 mM NaCl Procedure Mechanical Disruption of Mtb Cells

-   -   150 ml of chemostat cells (O.D of 2.5 at 540 nm) are spun down         at 15,000 rpm for minutes in 250 ml polypropylene pots using         centrifuge Sorvall RC-5C.     -   The supernatant is discarded.     -   Cells are re-suspended in 5 ml of breaking buffer in a 50 ml         Falcon tube and centrifuged at 15,000 rpm for a further 15         minutes.     -   The supernatant is removed and additional breaking buffer is         added at a volume of 5 ml. Beads are used to disrupt the cells.         These are used at a quantity of 1 ml of beads for 1 ml of cells.         Place the sample into the appropriate sized chamber. Place in         the bead beater and secure the outer unit (containing ice) and         process at the desired speed for 30 seconds.     -   Allow the beads to settle for 10 minutes and transfer cell         lysate to a 50 ml Falcon centrifuge tube     -   Wash beads with 2-5 ml of breaking buffer by pipetting washing         buffer up and down over the beads.     -   Add this washing solution to the lysate in the falcon tube

Removal of Proteins and Cellular Components

-   -   Add 0.1 volumes of 10% SDS and 0.01 volumes of proteinase K.     -   Mix by inversion and heat at 55° C. in a heat block for 2-3         hours     -   The resulting mix should be homogenous and viscous. If it isn't         then add more SDS to bring the concentration up to 0.2%     -   Add an equal volume of phenol/chloroform/Isoamyl alcohol in the         ratio: 25/24/1.     -   Gently mix on a platform rocker until homogenous     -   Spin down at 3,000 rpm for 20 minutes     -   Remove the aqueous phase and place in a fresh tube     -   Extract the aqueous phase with an equal volume of chloroform to         remove traces of cell debris and phenol. Chloroform extractions         may need to be repeated to remove all the debris.     -   Precipitate the DNA with 0.3 M sodium acetate and an equal         volume of isopropanol.     -   Spool as much DNA as you can with a glass rod     -   Wash the spooled DNA in 70% ethanol followed by 100% ethanol     -   Leave to air dry     -   Dissolve the DNA in sterile deionised water (500 μl)     -   Allow DNA to dissolve at 4° C. for approximately 16 hours.     -   Add RNase 1 (500 U) to the dissolved DNA     -   Incubate for 1 hour at 37° C.     -   Re-extract with an equal volume of phenol/chloroform followed by         a chloroform extraction and precipitate as before     -   Spin down the DNA at 13,000 rpm     -   Remove the supernatant and wash the pellet in 70% ethanol     -   Air dry     -   Dissolve in 200-500 μl of sterile water.         d) Preparation of Cy3 or Cy5 labelled DNA from DNA

Prepare One Cy3 or One Cy5 Labelled DNA Sample Per Microarray Slide.

For each sample:

DNA 2-5 μg Random primers (3 μg/μl) 1 μl H₂O to 41.5 μl

Heat at 95° C. for 5 min, snap cool on ice and briefly centrifuge.

Add to each: 10xREact 2 buffer 5 μl dNTPs (5 mM dA/G/TTP, 2 mM dCTP) 1 μl Cy3 OR Cy5 dCTP 1.5 μl Klenow (5 U/μl) 1 μl Incubate at 37° C. in dark for 90 min.

Prehybridise Slide

Mix the prehybridisation solution in a Coplin jar and incubate at 65° C. during the labelling reaction to equilibrate.

Prehybridisation: 20xSSC 8.75 ml (3.5xSSC) 20% SDS 250 μl (0.1% SDS) BSA (100 mg/ml) 5 ml (10 mg/ml) H₂O to 50 ml

Incubate the microarray slide in the pre-heated prehybridisation solution at 65° C. for 20 min. Rinse slide thoroughly in 400 ml H₂O for 1 min followed by rinse in 400 ml propan-2-ol for 1 min and centrifuge slide in 50 ml centrifuge tube at 1,500 rpm for 5 min to dry. Store slide in dark, dust-free box until hybridisation (<1 h).

Purify Cy3/Cy5 labelled DNA—Qiagen MinElute Purification

-   -   Combine Cy3 and Cy5 labelled DNA samples in single tube and add         500 μl Buffer PB.     -   Apply to MinElute column in collection tube and centrifuge at         13,000 rpm for 1 min.     -   Discard flow-through and place MinElute column back into same         collection tube.     -   Add 500 μl Buffer PE to MinElute column and centrifuge at 13,000         rpm for 1 min.     -   Discard flow-through and place MinElute column back into same         collection tube.     -   Add 250 μl Buffer PE to MinElute column and centrifuge at 13,000         rpm for 1 min.     -   Discard flow-through and place MinElute column back into same         collection tube.     -   Centrifuge at 13,000 rpm for an additional 1 min to remove         residual ethanol.     -   Place the MinElute column into a fresh 1.5 ml tube.     -   Add 10.5 μl H₂O to the centre of the membrane and allow to stand         for 1 min.     -   Centrifuge at 13,000 rpm for 1 min.         e) Preparation of Cy3 or Cy5 Label cDNA from RNA

Prepare one Cy3 and one Cy5 labelled cDNA sample per microarray slide. For each sample: RNA 2-10 μg Random primers (3 μg/μl) 1 μl H₂O to 11 μl

Heat at 95° C. for 5 min, snap cool on ice and briefly centrifuge.

Add to each: 5xFirst Strand Buffer 5 μl DTT (100 mM) 2.5 μl dNTPs (5 mM dA/G/TTP, 2 mM dCTP) 2.3 μl Cy3 OR Cy5 dCTP 1.7 μl SuperScript II (200 U/μl) 2.5 μl

Incubate at 25° C. in dark for 10 min followed by 42° C. in dark for 90 min.

Prehybridise Slide

Mix the prehybridisation solution in a Coplin jar and incubate at 65° C. during the labelling reaction to equilibrate.

Prehybridisation: 20xSSC 8.75 ml (3.5xSSC) 20% SDS 250 μl (0.1% SDS) BSA (100 mg/ml) 5 ml (10 mg/ml) H₂O to 50 ml

Incubate the microarray slide in the pre-heated prehybridisation solution at 65° C. for 20 min. Rinse slide thoroughly in 400 ml H₂O for 1 min followed by rinse in 400 ml propan-2-ol for 1 min and centrifuge slide in 50 ml centrifuge tube at 1500 rpm for 5 min to dry. Store slide in dark, dust-free box until hybridisation (<1 h).

Purify Cy3/Cy5 Labelled cDNA—Qiagen MinElute Purification

-   -   Combine Cy3 and Cy5 labelled DNA samples in single tube and add         250 μl Buffer PB.     -   Apply to MinElute column in collection tube and centrifuge at         13,000 rpm for 1 min.     -   Discard flow-through and place MinElute column back into same         collection tube.     -   Add 500 μl Buffer PE to MinElute column and centrifuge at 13,000         rpm for 1 min.     -   Discard flow-through and place MinElute column back into same         collection tube.     -   Add 250 μl Buffer PE to MinElute column and centrifuge at 13,000         rpm for 1 min.     -   Discard flow-through and place MinElute column back into same         collection tube.     -   Centrifuge at 13,000 rpm for an additional 1 min to remove         residual ethanol.     -   Place the MinElute column into a fresh 1.5 ml tube.     -   Add 10.5 μl H₂O to the centre of the membrane and allow to stand         for 1 min.     -   Centrifuge at 13,000 rpm for 1 min.         f) Hybridise Slide with Cy3/Cy5 Labelled cDNA/DNA

Place the prehybridised microarray slide in the hybridisation cassette and add two 15 μl aliquots of H₂O to the wells in the cassette. Mix resuspended Cy3/Cy5 labelled cDNA sample with hybridisation solution.

Hybridisation: Cy3/Cy5 labelled cDNA sample 10.5 μl 20xSSC 3.2 μl (4xSSC) 2% SDS 2.3 μl (0.3% SDS)

Heat hybridisation solution at 95° C. for 2 min. Do NOT snap cool on ice but allow to cool slightly and briefly centrifuge. Pipette the hybridisation solution onto the slide at the edge of the arrayed area avoiding bubble formation. Using forceps carefully drag the edge of a cover slip along the surface of the slide towards the arrayed area and into the hybridisation solution at the edge of the array. Carefully lower the cover slip down over the array avoiding any additional movement once in place. Seal the hybridisation cassette and submerge in a water bath at 60° C. for 16-20 h.

Wash Slide

Remove microarray slide from hybridisation cassette and initially wash slide carefully in staining trough of Wash A, preheated to 65° C., to remove cover slip. Once cover slip is displaced place slide(s) in slide rack and continue agitating in Wash A for a further 2 min.

Wash A: 20xSSC 20 ml (1xSSC) 20% SDS 1 ml (0.05% SDS) H₂O to 400 ml

Transfer slide(s) to a clean slide rack and agitate in first trough of Wash B for 2 min. Wash in second trough of Wash B with agitation for 2 min.

Wash B (x2): 20xSSC 1.2 ml (0.06xSSC) H₂O to 400 ml

Place slide into a 50 ml centrifuge tube and centrifuge at 1500 rpm for 5 mins to dry the slide and then scan fluorescence using a microarray slide scanner. The slides were scanned using an Affymetrix 428 scanner. The raw data was analysed using a combination of ImaGene and GeneSpring software.

q) Preparation of the Arrays

Whole M. tuberculosis genome arrays were prepared from M. tuberculosis genomic DNA using ORF-specific primers. PCR products corresponding to each ORF were spotted in a grid onto a standard glass microscope slide using a BioRobotics microgrid robot (MWG Biotech) at a resolution of >4000 spots/cm².

Results

Transcriptomics analysis of M. tuberculosis DNA coding sequences that are up-regulated under low DOT continuous culture conditions has identified the following SEQ IDs (see Table 2). Referring to the SEQ. ID. NO. column, the first identified number is an amino acid sequence and the second identified number is the corresponding DNA sequence.

TABLE 2 Gene Assigned function SEQ ID NO. Rv 1344 Acyl carrier protein 1, 2 Rv0283 3, 4 Rv3402c Aminotransferase in 5, 6 polysaccharide biosynthesis Rv3049c Monooxygenase 7, 8 Rv2382c (mbtC) Involved in mycobactin biosynthesis  9, 10 Rv2381c (mbtD) Involved in mycobactin biosynthesis 11, 12 Rv2379c (mbtF) Involved in mycobactin biosynthesis 13, 14 Rv1994c Transcription regulator, similar to eg 15, 16 MERR probable mercury resistance operon Rv0251c (hsp) Heat shock protein belonging 17, 18 to HSP20 family Rv3174 Oxidoreductase 19, 20 fadE14 (Rv1346) Acyl CoA dehyrogenase 21, 22 LipK (Rv2385) Esterase/acetyl hydrolase 23, 24 appC (Rv1623c) Cytochrome D 25, 26 Rv0725c 27, 28 Rv3639c 29, 30 Rv0560c Methyltransferase 31, 32 Rv2053c 33, 34 lpqS (Rv0847) Lipoprotein containing a signal peptide 35, 36 Rv3767c Protein with a probable N-terminal 37, 38 signal peptide Rv3812 39, 40 Rv2210c (ilvE) Branched chain amino 41, 42 acid transaminase Rv2516c Protein containing a helix-turn- 43, 44 helix motif Rv0870c Hydrophobic protein 45, 46 Rv1168c PPE protein 47, 48 Rv2448c (valS) Valyl-tRNA synthetase 49, 50 Rv2378c (mbtG) Involved in mycobactin biosynthesis. 51, 52 Lysine hydroxylase Rv2377c (mbtH) Involved in mycobactin biosynthesis 53, 54 Rv0135c Transcriptional regulator 55, 56 Rv2025c 57, 58 Rv0985c (mscL) 59, 60 Rv0938 61, 62 Rv2554c 63, 64 Rv1342c Membrane protein 65, 66 Rv0397 67, 68 Rv1389 (gmk) Guanylate kinase 69, 70 Rv0123 71, 72 Rv3001c (ilvC) Ketol acid reducto isomerase 73, 74 Rv3839 75, 76 Rv2164c Proline rich protein 77, 78 Rv2017 Transcriptional regulator 79, 80 Rv1982c 81, 82 Rv3758c (proV) ABC transporter. ATP binding protein 83, 84 Rv3697c 85, 86 Rv1228 (lpqX) Protein containing a signal peptide 87, 88 Rv3000 89, 90 Rv3037c 91, 92 Rv1634 Membrane protein of major facilitator 93, 94 super family, similar to many antibiotic resistance (efflux) proteins Rv1300 (hemK) Protoporphyrinogen oxidase 95, 96 Rv2327 unknown 97, 98 Rv1221 (sigE) Sigma factor  99, 100 Rv1617 (pykA) Pyruvate kinase 101, 102 Rv0792c Transcriptional regulator, similar to many of GntR family 103, 104 e.g. Bacillus subtilis Rv1509 105, 106 Rv3081 Contains PS0 0850 107, 108 Rv0347 Similar to Rv0831c 109, 110 Rv0573c 111, 112 Rv2019 113, 114

EXAMPLE 15 Protocol for Protein Extraction and Characterisation

M. tuberculosis H37Rv was grown in continuous culture under aerobic (50% DOT) and low oxygen (1% DOT) conditions and samples were collected during the steady-state (see Example 1).

Harvesting of Culture Cell Pellets

-   -   300-350 ml of culture is collected overnight on ice.     -   The culture is centrifuged for 10 minutes at 15,000 rpm in         dry-spin tubes using a Sorvall RC5B centrifuge at 4° C.     -   The supernatant is decanted off and the cell pellets are         collected in to tubes and stored frozen at −40° C.         Preparation of Protein Extracts from Cell Pellets     -   One sample of steady state cell pellets from each of 3 aerobic         and 2 low oxygen chemostat cultures were removed from the         freezer and allowed to thaw at room temperature for 1 hour.     -   Each pellet is resuspended in 40 mis Tris-HCL buffer [40 mM         Tris, 1 mM EDTA (pH 6.9) and 200 μl protease inhibitor cocktail         (Sigma, P8645) per 40 mls] and re-pelleted by centrifugation at         12,000 rpm at 4° C.     -   Each cell pellet is then resuspended with approximately 1 ml of         buffer.     -   0.5 ml aliquots of the bacterial suspensions are dispensed into         separate ribolyser tubes (Anachem).     -   Each tube is ribolysed for 3×90 seconds cycles (maximum         power—setting 6.5) with 5 mins on ice between each cycle.     -   After ribolysing the protein preparations for each sample were         pooled and the following chemicals added:

3.2 g Urea 64.8 mg DTT 300 μl Ampholytes (servalyte 2-4 serva electrophoresis) 0.24 g CHAPS

-   -   Each chemical is allowed to dissolve before adding the next.     -   The samples are incubated for 30 minutes at room temperature.     -   The samples were dispensed in to eppendorf tubes and centrifuged         at 12,000 rpm for 5 minutes.     -   The clear soluble protein preparations are then removed and         double filtered through a 0.2 μm cellulose acetate filter         membrane.     -   Protein determinations of the samples using a Biorad assay was         performed with a Bovine serum albumin standard curve and the         samples found to contain between 6-8.5 mg/ml of protein.

Proteomics Analysis Using 2D Electrophoresis

Representative protein samples of the low-oxygen and aerobic chemostat cultures were sent away for 2D Electrophoresis analysis to the Wittman Institute of Technology and Analysis of Biomolecules (WITA), Berlin.

-   -   Protein separation of each sample by 2D electrophoresis         (Jungblut et al., Infect Immun 2001 September; 69(9):5905-7) was         carried out on both Coomassie brilliant blue and silver stained         gels produced using 70 μl and 25 μl of protein samples         respectively.

Protein Identification

-   -   The most abundant protein spots on the Coomassie low oxygen gel         were excised and sent for Mass spectrometry determination by         Robin Wait (Jungblut et al., Infect Immun 2001 September;         69(9):5905-7) for protein identification.

The following proteins were identified, and are listed (together with their corresponding DNA coding sequences) in Table 3.

TABLE 3 Gene Assigned function SEQ ID NO. Rv3040 31.5 kDa protein 115, 116 Rv1288 Antigen 85B-precursor 117, 118 Rv0649 Malonyl CoA-acyl carrier protein transacylase 119, 120 Rv1357c 29.8 and 31.7 kDa proteins 121, 122 Rv2230c 39.6 kDa protein 123, 124 Rv2468c 125, 126 Rv3011c Glutamyl-tRNA (Gln) amidotransferase 127, 128 subunit/ATPB MYCTU ATP synthase beta chain Rv2868c GcpE protein homolog 129, 130 Rv0718 30S ribosomal protein S8 131, 132 Rv1267c Response regulator, similar to AFSR_STRCO P25941 133, 134 Rv1294 Homoserine dehydrogenase 135, 136 Rv0844c Nitrate/nitrite response regulator (NARL) 137, 138

REFERENCES

-   1. McKinney, J. D., et al., Persistence of Mycobacterium     tuberculosis in macrophages and mice requires the glyoxylate shunt     enzyme isocitrate lyase [see comments]. Nature, 2000. 406(6797): p.     735-8. -   2. Pelicic, V., et al., Efficient allelic exchange and transposon     mutagenesis in Mycobacterium tuberculosis. Proc Natl Acad Sci     USA, 1997. 94(20): p. 10955-60. -   3. Lee, M. H., et al., Site-specific integration of     mycobacteriophage L5: integration-proficient vectors for     Mycobacterium smegmatis, Mycobacterium tuberculosis, and bacille     Calmette-Guerin. Proc Natl Acad Sci USA, 1991. 88(8): p. 3111-5. -   4. McShane, H., et al., Enhanced immunogenicity of CD4(+) t-cell     responses and protective efficacy of a DNA-modified vaccinia virus     Ankara prime-boost vaccination regimen for murine tuberculosis.     Infect Immun, 2001. 69(2): p. 681-6. -   5. Movahedzadeh, F., M. J. Colston, and E. O. Davis,     Characterization of Mycobacterium tuberculosis LexA: recognition of     a Cheo (Bacillus-type SOS) box. Microbiology, 1997. 143(Pt 3): p.     929-36.

ADDITIONAL REFERENCES

-   Sambrook, J., E. F. Fritsch, and T. Maniatis. 1989. Molecular     cloning: a laboratory manual, 2nd ed. Cold Spring Harbour Laboratory     Press, Cold Spring Harbour, N.Y. -   Lefever, P., O. Denis, L. De Wit, A. Tanghe, P. Vandenbussche, J.     Content, and K. Huygen. 2000. Cloning of the gene encoding a     22-kilodalton cell surface antigen of Mycobacterium bovis BCG and     analysis of its potential for DNA vaccination against tuberculosis.     Infection and Immunity. 68:1040-1047. -   Vordermeire, H. M., P. J. Cockle, A. O. Whelan, S. Rhodes, M. A.     Chambers, D. Clifford, K. Huygen, R. Tascon, D. Lowrie, M. J.     Colston, and R. G. Hewinson. 2000. Effective DNA vaccination of     cattle with the mycobacterial antigens MPB83 and MPB70 does not     compromise the specificity of the comparative intradermal tuberculin     skin test. Vaccine. 19:1246-1255. -   Cheng, W., C. Hung, C. Chai, K. Hsu, L. He, C. Rice, M. Ling, and T.     Wu. 2001. Enhancement of Sindbis virus self-replicating RNA vaccine     potency by linkage of Mycobacterium tuberculosis heat shock protein     70 gene to an antigen. J. Immunol. 166:6218-6226. -   Lalvani, A. et al., 2001. Enhanced contact tracing and spatial     tracking of Mycobacterium tuberculosis infection by enumeration of     antigen-specific T cells. The Lancet 357:2017-2021. 

1-27. (canceled)
 28. An isolated M. tuberculosis DNA sequence selected from the group consisting of SEQ ID NOs: 40 and 90, or a variant thereof having at least 70% nucleotide sequence identity therewith, or a derivative thereof, wherein the peptide encoded by said variant or derivative has a common antigenic cross-reactivity to the peptide encoded by said DNA sequence; wherein said M. tuberculosis DNA sequence is the coding sequence of an M. tuberculosis gene, the expression of which is induced or up-regulated during culture of M. tuberculosis under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C.
 29. A therapeutic agent for combating mycobacterial infections, comprising an M. tuberculosis DNA sequence selected from the group consisting of SEQ ID NOs: 40 and 90, or a derivative thereof, wherein the peptide encoded by said derivative has a common antigenic cross-reactivity to the peptide encoded by said DNA sequence; wherein said M. tuberculosis DNA sequence is the coding sequence of an M. tuberculosis gene, the expression of which is induced or up-regulated during culture of M. tuberculosis under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C.
 30. A medicament for treating a mycobacterial infection, or for reducing the severity or intensity of a mycobacterial infection, or for preventing mycobacterial disease progression, comprising an M. tuberculosis DNA sequence selected from the group consisting of SEQ ID NOs: 40 and 90, or a derivative thereof, wherein the peptide encoded by said derivative has a common antigenic cross-reactivity to the peptide encoded by said DNA sequence; wherein said M. tuberculosis DNA sequence is the coding sequence of an M. tuberculosis gene, the expression of which is induced or up-regulated during culture of M. tuberculosis under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C.
 31. A method of treating a mycobacterial infection, or for reducing the severity or intensity of a mycobacterial infection, or for preventing mycobacterial disease progression, comprising administering to a patient an M. tuberculosis DNA sequence selected from the group consisting of SEQ ID NOs: 40 and 90, or a derivative thereof, wherein the peptide encoded by said derivative has a common antigenic cross-reactivity to the peptide encoded by said DNA sequence; wherein said M. tuberculosis DNA sequence is the coding sequence of an M. tuberculosis gene, the expression of which is induced or up-regulated during culture of M. tuberculosis under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C.
 32. An isolated DNA sequence, wherein said DNA sequence is: (i) a fragment of an M. tuberculosis DNA sequence selected from the group consisting of SEQ ID NOs:40 and 90; wherein said fragment has at least 15 nucleotides; or (ii) a variant of (i) having at least 70% nucleotide sequence identity therewith; or (iii) a derivative of (i) or (ii); wherein the peptide encoded by said fragment, variant or derivative has a common antigenic cross-reactivity to the peptide encoded by said M. tuberculosis DNA sequence; wherein said M. tuberculosis DNA sequence is the coding sequence of an M. tuberculosis gene, the expression of which is induced or up-regulated during culture of M. tuberculosis under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C.
 33. A therapeutic agent for combating mycobacterial infections, comprising an isolated DNA sequence, wherein said isolated DNA sequence is: (i) a variant having at least 90% nucleotide sequence identity to a DNA sequence selected from the group consisting of: (a) an M. tuberculosis DNA sequence selected from the group consisting of SEQ ID NOs: 40 and 90; or (b) a fragment of (a) having at least 15 nucleotides; or (ii) a derivative of (i); wherein the peptide encoded by said variant, fragment or derivative has a common antigenic cross-reactivity to the peptide encoded by said M. tuberculosis DNA sequence; wherein said M. tuberculosis DNA sequence is the coding sequence of an M. tuberculosis gene, the expression of which is induced or up-regulated during culture of M. tuberculosis under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C.
 34. A medicament for treating a mycobacterial infection, or for reducing the severity or intensity of a mycobacterial infection, or for preventing mycobacterial disease progression, comprising an isolated DNA sequence, wherein said isolated DNA sequence is: (i) a variant having at least 90% nucleotide sequence identity to a DNA sequence selected from the group consisting of: (a) an M. tuberculosis DNA sequence selected from the group consisting of SEQ ID NOs: 40 and 90; or (b) a fragment of (a) having at least 15 nucleotides; or (ii) a derivative of (i); wherein the peptide encoded by said variant, fragment or derivative has a common antigenic cross-reactivity to the peptide encoded by said M. tuberculosis DNA sequence; wherein said M. tuberculosis DNA sequence is the coding sequence of an M. tuberculosis gene, the expression of which is induced or up-regulated during culture of M. tuberculosis under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C.
 35. A method of treating a mycobacterial infection, or for reducing the severity or intensity of a mycobacterial infection, or for preventing mycobacterial disease progression, comprising administering to a patient an isolated DNA sequence, wherein said isolated DNA sequence is: (i) a variant having at least 90% nucleotide sequence identity to a DNA sequence selected from the group consisting of: (a) an M. tuberculosis DNA sequence selected from the group consisting of SEQ ID NOs: 40 and 90; or (b) a fragment of (a) having at least 15 nucleotides; or (ii) a derivative of (i); wherein the peptide encoded by said variant, fragment or derivative has a common antigenic cross-reactivity to the peptide encoded by said M. tuberculosis DNA sequence; wherein said M. tuberculosis DNA sequence is the coding sequence of an M. tuberculosis gene, the expression of which is induced or up-regulated during culture of M. tuberculosis under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C.
 36. A therapeutic agent for combating mycobacterial infection, comprising an isolated DNA sequence, wherein said isolated DNA sequence is: (i) a fragment of an M. tuberculosis DNA sequence selected from the group consisting of SEQ ID NOs: 40 and 90; wherein said fragment has at least 15 nucleotides; or (ii) a derivative of (i); wherein the peptide encoded by said fragment or derivative has a common antigenic cross-reactivity to the peptide encoded by said M. tuberculosis DNA sequence; wherein said M. tuberculosis DNA sequence is the coding sequence of an M. tuberculosis gene, the expression of which is induced or up-regulated during culture of M. tuberculosis under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C.
 37. A medicament for treating a mycobacterial infection, or for reducing the severity or intensity of a mycobacterial infection, or for preventing mycobacterial disease progression, comprising an isolated DNA sequence, wherein said isolated DNA sequence is: (i) a fragment of an M. tuberculosis DNA sequence selected from the group consisting of SEQ ID NOs: 40 and 90; wherein said fragment has at least 15 nucleotides; or (ii) a derivative of (i); wherein the peptide encoded by said fragment or derivative has a common antigenic cross-reactivity to the peptide encoded by said M. tuberculosis DNA sequence; wherein said M. tuberculosis DNA sequence is the coding sequence of an M. tuberculosis gene, the expression of which is induced or up-regulated during culture of M. tuberculosis under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C.
 38. A method of treating a mycobacterial infection, or for reducing the severity or intensity of a mycobacterial infection, or for preventing mycobacterial disease progression, comprising administering to a patient an isolated DNA sequence, wherein said isolated DNA sequence is: (i) a fragment of an M. tuberculosis DNA sequence selected from the group consisting of SEQ ID NOs: 40 and 90; wherein said fragment has at least 15 nucleotides; or (ii) a derivative of (i); wherein the peptide encoded by said fragment or derivative has a common antigenic cross-reactivity to the peptide encoded by said M. tuberculosis DNA sequence; wherein said M. tuberculosis DNA sequence is the coding sequence of an M. tuberculosis gene, the expression of which is induced or up-regulated during culture of M. tuberculosis under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C. 39-44. (canceled)
 45. An isolated DNA sequence, wherein said DNA sequence is: (i) a fragment of a DNA sequence variant, wherein said DNA sequence variant has at least 90% nucleotide sequence identity with an isolated M. tuberculosis DNA sequence selected from the group consisting of SEQ ID NOs: 40 and 90, wherein said fragment has at least 15 nucleotides; or (ii) a derivative of (i); wherein the peptide encoded by said fragment, variant or derivative has a common antigenic cross-reactivity to the peptide encoded by said isolated M. tuberculosis DNA sequence; and wherein said M. tuberculosis DNA sequence is the coding sequence of an M. tuberculosis gene, the expression of which is induced or up-regulated during culture of M. tuberculosis under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C.
 46. A therapeutic agent for combating mycobacterial infections, comprising an isolated DNA sequence, wherein said DNA sequence is: (i) a fragment of a DNA sequence variant, wherein said DNA sequence variant has at least 90% nucleotide sequence identity with an isolated M. tuberculosis DNA sequence selected from the group consisting of SEQ ID NOs: 40 and 90, wherein said fragment has at least 15 nucleotides; or (ii) a derivative of (i); wherein the peptide encoded by said fragment, variant or derivative has a common antigenic cross-reactivity to the peptide encoded by said isolated M. tuberculosis DNA sequence; and wherein said M. tuberculosis DNA sequence is the coding sequence of an M. tuberculosis gene, the expression of which is induced or up-regulated during culture of M. tuberculosis under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C.
 47. A medicament for treating a mycobacterial infection, or for reducing the severity or intensity of a mycobacterial infection, or for preventing mycobacterial disease progression, comprising an isolated DNA sequence, wherein said DNA sequence is: (i) a fragment of a DNA sequence variant, wherein said DNA sequence variant has at least 90% nucleotide sequence identity with an isolated M. tuberculosis DNA sequence selected from the group consisting of SEQ ID NOs: 40 and 90, wherein said fragment has at least 15 nucleotides; or (ii) a derivative of (i); wherein the peptide encoded by said fragment, variant or derivative has a common antigenic cross-reactivity to the peptide encoded by said isolated M. tuberculosis DNA sequence; and wherein said M. tuberculosis DNA sequence is the coding sequence of an M. tuberculosis gene, the expression of which is induced or up-regulated during culture of M. tuberculosis under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C.
 48. A method of treating a mycobacterial infection, or for reducing the severity or intensity of a mycobacterial infection, or for preventing mycobacterial disease progression, comprising administering to a patient an isolated DNA sequence, wherein said DNA sequence is: (i) a fragment of a DNA sequence variant, wherein said DNA sequence variant has at least 90% nucleotide sequence identity with an isolated M. tuberculosis DNA sequence selected from the group consisting of SEQ ID NOs: 40 and 90, wherein said fragment has at least 15 nucleotides; or (ii) a derivative of (i); wherein the peptide encoded by said fragment, variant or derivative has a common antigenic cross-reactivity to the peptide encoded by said isolated M. tuberculosis DNA sequence; and wherein said M. tuberculosis DNA sequence is the coding sequence of an M. tuberculosis gene, the expression of which is induced or up-regulated during culture of M. tuberculosis under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C. 49-50. (canceled)
 51. A method of identifying a mycobacterial gene the expression of which is induced or up-regulated during culture of a mycobacterium under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C., said method comprising: culturing a first mycobacterium under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C.; culturing a second mycobacterium under continuous culture conditions defined by a dissolved oxygen tension of at least 40% air saturation measured at 37° C.; obtaining first and second mRNA populations from said first and second mycobacteria, respectively; preparing first and second cDNA populations from said first and second mRNA populations, respectively, during which cDNA preparation a detectable label is introduced into the cDNA molecules of the first and second cDNA populations; isolating corresponding first and second cDNA molecules from the first and second cDNA populations, respectively; comparing relative amounts of label or corresponding signal emitted from the label present in the isolated first and second cDNA molecules; identifying a greater amount of label or signal provided by the isolated first cDNA molecule than that provided by the isolated second cDNA molecule; and identifying the first cDNA and the corresponding mycobacterial gene which is induced or up-regulated during culture of a mycobacterium under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. 52-56. (canceled)
 57. An attenuated M. tuberculosis mycobacterium in which a gene has been modified thereby rendering the mycobacterium substantially non-pathogenic; wherein the gene is a gene the expression of which is induced or up-regulated during culture of a mycobacterium under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C.; and wherein the M. tuberculosis gene has a wild-type coding sequence selected from the group consisting of SEQ ID NOs: 40 and
 90. 58. An attenuated microbial carrier, comprising an M. tuberculosis gene having a DNA sequence selected from the group consisting of SEQ ID NOs: 40 and 90; or a variant thereof having at least 70% nucleotide sequence identity therewith, or a fragment thereof having at least 15 nucleotides, or a derivative thereof, wherein the peptide encoded by said variant, fragment or derivative has a common antigenic cross-reactivity to the peptide encoded by said M. tuberculosis gene; wherein the expression of said M. tuberculosis gene is induced or up-regulated during culture of a mycobacterium under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C.
 59. (canceled)
 60. A DNA plasmid comprising a promoter, a polyadenylation signal, and a DNA sequence selected from the group consisting of SEQ ID NOs: 40 and 90, or a variant thereof having at least 70% nucleotide sequence identity therewith, or a fragment thereof having at least 15 nucleotides, or a derivative thereof, wherein the peptide encoded by said variant, fragment or derivative has a common antigenic cross-reactivity to the peptide encoded by said DNA sequence; wherein said DNA sequence is the coding sequence of an M. tuberculosis gene, the expression of which is induced or up-regulated during culture of a mycobacterium under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C.; and wherein the promoter and polyadenylation signal are operably linked to the DNA sequence. 61-63. (canceled)
 64. An isolated RNA sequence that is encoded by a DNA sequence selected from the group consisting of SEQ ID NOs: 40 and 90, or a variant thereof having at least 70% nucleotide sequence identity therewith, or a fragment thereof having at least 15 nucleotides, or a derivative thereof, wherein the peptide encoded by said variant, fragment or derivative has a common antigenic cross-reactivity to the peptide encoded by said DNA sequence; wherein the DNA sequence is the coding sequence of an M. tuberculosis gene which is induced or up-regulated during culture of a mycobacterium under continuous culture conditions defined by a dissolved oxygen tension of up to 10% air saturation measured at 37° C. when compared with a dissolved oxygen tension of at least 40% air saturation measured at 37° C. 65-67. (canceled) 